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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