Organization
FOOT AND ANKLE INSTITUTE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON OLIVERIO DPM (OWNER)
(330) 658-2083
Entity
Organization
Contact information
Practice address
819 N 1ST ST, DENNISON, OH 44621-1003
(740) 922-1188
(330) 595-4729
Mailing address
1193 NORTON AVE, STE D, NORTON, OH 44203-9516
(330) 725-7878
(330) 595-4729
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-002891
OH
225100000X
Physical Therapist
36-002891
OH
332B00000X
Durable Medical Equipment & Medical Supplies
36-002891
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2755746
—
OH
Enumeration date
11/24/2006
Last updated
04/17/2017
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