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Elizabeth Bush, CPO

in Richmond, VA. Individual provider (NPI-1).

NPI number1366041428
StatusActive
Last updated in NPPESDec 10, 2024

Details

NPI
1366041428
Entity type
Individual (NPI-1)
Name
Elizabeth Bush
Credential
CPO
Sex
Female
Sole proprietor
No
Enumeration date
Oct 20, 2020
Certification date
Dec 10, 2024
Last updated
Dec 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Z00000X ––Yes
224P00000X Prosthetist––

Practice location

7594 W Broad St
Richmond, VA 23294-3608

Phone 804-643-9064 · Fax 804-643-8936

Mailing address

7594 W Broad St
Richmond, VA 23294-3608

Phone 804-643-9064 · Fax 804-643-8936

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