MR. Anthony Louis Dibenedetto JR., LPO

NPI #1619931417 in Poland, Ohio

Provider Information

NPI Number: 1619931417
Entity Type: Individual
Name: MR. Anthony Louis Dibenedetto JR., LPO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Prosthetist
Credential: LPO
Enumeration Date: Apr 17, 2006
Last Updated: Nov 6, 2007

Practice Location

Address: 8571 FOXWOOD COURT
Address 2: SUITE C
City: Poland
State: Ohio
ZIP Code: 44514
Phone: (330) 259-0265

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X
Prosthetist	224P00000X	Primary

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