Individual provider · Type 1 NPI

Dissirama A. Betimbena, SOLE MBR

Prosthetic/Orthotic Supplier · Cincinnati, OH

NPI number 1508682071 Active

Practice location

11260 Chester Rd Fl 7
Cincinnati, OH 45246-4048

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier 335E00000XNone listed
Prosthetic/Orthotic Supplier 335E00000X29BYIDRXDQ (OH)
Prosthetic/Orthotic Supplier 335E00000XNone listed
Prosthetic/Orthotic Supplier Primary 335E00000X335E00000X (OH)

Prosthetic/Orthotic Supplier: 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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About NPI 1508682071

Dissirama A. Betimbena, SOLE MBR's National Provider Identifier is 1508682071, issued on Nov 29, 2024. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Cincinnati, OH. The record was last updated on Apr 18, 2025.