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Mr. Dennis Leo Anco, CPO,LPO
Prosthetist in Woodbury, Minnesota
NPI 1013568229

Dennis Leo Anco is a Prosthetist based in Woodbury, MN. Dennis Leo Anco practices in Woodbury, MN and has the professional credentials of CPO,LPO. The NPI Number for Dennis Leo Anco is 1013568229 and holds a License No. 1089 (Minnesota).

The current practice location address for Dennis Leo Anco is 1854 Evergreen Draw, Woodbury, MN and can be reached out via phone at 763-228-5697. You can also correspond with Dennis Leo Anco through the mailing address at 1854 EVERGREEN DRAW, WOODBURY, MN - 55125-2306 (mailing address contact number: 763-228-5697).

Location: 1854 Evergreen Draw, Woodbury, MN, 55125-2306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013568229
Provider Name
Dennis Leo Anco
Credential
CPO,LPO
Provider Entity Type
Individual
Gender
Male
Address
1854 Evergreen Draw, Woodbury, MN, 55125-2306
Phone Number
763-228-5697
Fax Number
Provider Enumeration Date
09/28/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CPO04135 01 AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS, AND PEDORTHICS
1089 01 MN BOARD OF PODIATRIC MEDICINE
institution
Provider Business Practice Location Address Details
Address
1854 Evergreen Draw
City
Woodbury
State
Minnesota
Zip
55125-2306
Phone Number
763-228-5697
Fax Number
person
Provider Business Mailing Address Details
Address
1854 Evergreen Draw
City
Woodbury
State
Minnesota
Zip
55125-2306
Phone Number
763-228-5697
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
1089 (Minnesota)
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
1089 (Minnesota)
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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