Organization
CERTIFIED PROSTHETICS & ORTHOTICS - EAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CASEY JOSEPH BRADSHAW (OWNER/PARTNER)
(970) 356-2123
Entity
Organization
Contact information
Practice address
2445 ARMY NAVY DR STE 305, ARLINGTON, VA 22206-2905
(541) 312-9882
Mailing address
2445 ARMY NAVY DR STE 305, ARLINGTON, VA 22206-2905
(541) 312-9882
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/30/2017
Last updated
07/21/2022
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