Organization
CHILDREN'S ORTHOTICS AND PROSTHETICS LLC
Active
Organization
CHILDREN'S ORTHOTICS AND PROSTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICIA LAURIE PURDUM BOCO, BOCP (OWNER)
(702) 932-1300
Entity
Organization
Contact information
Practice address
810 S DURANGO DR STE 100, LAS VEGAS, NV 89145-2487
(702) 932-1300
(702) 848-4990
Mailing address
810 S DURANGO DR STE 100, LAS VEGAS, NV 89145-2487
(702) 932-1300
(702) 848-4990
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
C52329
NV
224P00000X
Prosthetist
C52329
NV
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/22/2017
Last updated
04/28/2026
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