Organization
MOBILITY PROSTHETIC AND ORTHOTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJU ROY CPO, LPO (DIRECTOR)
(714) 390-7533
Entity
Organization
Contact information
Practice address
1921 MOTOR AVE STE B, KINGMAN, AZ 86401-4185
(928) 377-4125
(928) 277-4400
Mailing address
1921 MOTOR AVE STE B, KINGMAN, AZ 86401-4185
(928) 377-4125
(928) 277-4400
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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