IndividualActive
Dissirama Betimbena, SOLE MBR
NPI 1508682071 · Prosthetic/Orthotic Supplier · Cincinnati, OH
Provider details
- NPI number
- 1508682071
- Entity type
- Individual
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Credential
- SOLE MBR
- Sole proprietor
- Yes
Specialties & taxonomies
Suppliers
- Prosthetic/Orthotic Supplier335E00000X
Suppliers
Suppliers
- Prosthetic/Orthotic Supplier335E00000X
Suppliers
Practice location
11260 Chester Rd Fl 7
Cincinnati, OH 45246-4048
Phone: (513) 747-0460
Approximate (ZIP-level) locationGet directions
Mailing address
11260 Chester Rd Fl 7
Cincinnati, OH 45246-4048
Registry dates
- Enumerated
- 2024-11-29
- Last updated
- 2025-04-18
- Certified
- 2025-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.