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An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prosthetist |
224P00000X | 56 | Individual Certified Prosthetist |
| NPI Number | 1437088929 |
| LBN Legal business name | ASHIRA BLOOM |
| Authorized official | CHRISTINE DEVORE-CRADDOCK - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/19/2026 |
| Last updated | 05/19/2026 - About 3 weeks ago |
| Identifiers | n/a |
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ASHIRA BLOOM
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ASHIRA BLOOM