NPI 1710634654

Sujata Mohanty, BOCO

Practitioner Orthotist Las Vegas, NV

Practice location

Address: 400 Shadow Ln STE 110, Las Vegas, NV 89106-4355
Phone: (702) 800-6520
Fax: (702) 800-6492

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1710634654
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Mar 2022
Record last updated: 9 Mar 2022

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.