Individual provider · NPI-1

Bradley Poziembo, CPLP

Prosthetist · Richmond, IN

NPI number1821772534
StatusActive
Last updated in NPPESJun 13, 2023

Details

NPI
1821772534
Entity type
Individual (NPI-1)
Name
Mr. Bradley Poziembo
Credential
CPLP
Sex
Male
Sole proprietor
No
Enumeration date
Jun 13, 2023
Certification date
Jun 13, 2023
Last updated
Jun 13, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224P00000X Prosthetist258OHYes

Practice location

2011 Chester Blvd
Richmond, IN 47374-1214

Phone 765-756-5014 · Fax 765-488-1165

Mailing address

2011 Chester Blvd
Richmond, IN 47374-1214

Phone 765-756-5014 · Fax 765-488-1165

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