P ANTONELLI DIST INC NPI 1164451936

NPI Information

P ANTONELLI DIST INC is a prosthetic orthotic supplier in South Euclid, OH. The provider is 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. P ANTONELLI DIST INC NPI is 1164451936. The provider is registered as an organization entity type.

The provider's business location address is:

4483 WHITEHALL DR
SOUTH EUCLID, OH
ZIP 44121-883
Phone: (216) 291-3480

The provider's authorized official is Patricia Ellen Antonelli .
The authorized official title is President and has the following contact phone number (216) 291-3480.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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