NPI 1740047208

India Michelle Bullock

Practitioner Prosthetist Philadelphia, PA

Practice location

Address: 2245 N Sydenham St APT 2, Philadelphia, PA 19132-4430
Phone: (215) 839-9061
Mailing address: 2245 N Sydenham St, Philadelphia, PA 19132-4430

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1740047208
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Mar 2024
Record last updated: 1 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.