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P Antonelli Dist Inc
Prosthetic/Orthotic Supplier in South Euclid, Ohio
NPI 1164451936

P Antonelli Dist Inc is a Prosthetic/Orthotic Supplier based in South Euclid, OH. P Antonelli Dist Inc practices in South Euclid, OH. The NPI Number for P Antonelli Dist Inc is 1164451936 and holds a License No. (Ohio).

The current practice location address for P Antonelli Dist Inc is 4483 Whitehall Dr, South Euclid, OH and can be reached out via phone at 216-291-3480.

Location: 4483 Whitehall Dr, South Euclid, OH, 44121-3883
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164451936
Provider Name
P Antonelli Dist Inc
Credential
Provider Entity Type
Organization
Address
4483 Whitehall Dr, South Euclid, OH, 44121-3883
Phone Number
216-291-3480
Fax Number
Provider Enumeration Date
07/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0872775 05 OH
1804015 01 OH IO WAIVER
institution
Provider Business Practice Location Address Details
Address
4483 Whitehall Dr
City
South Euclid
State
Ohio
Zip
44121-3883
Phone Number
216-291-3480
Fax Number
person
Provider Business Mailing Address Details
Address
4483 Whitehall Dr
City
South Euclid
State
Ohio
Zip
44121-3883
Phone Number
216-291-3480
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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