Organization
NEVADA ORTHOTICS & PROSTHETICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETRA THIESSEN CFM (OPERATIONS MANAGER)
(702) 233-5500
Entity
Organization
Contact information
Practice address
2250 POSTAL DR STE 7, PAHRUMP, NV 89048-4798
(702) 233-5500
(702) 233-2131
Mailing address
3435 W CHEYENNE AVE, SUITE 102, NORTH LAS VEGAS, NV 89032-8206
(702) 233-5500
(702) 233-2131
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457786543
—
NV
Enumeration date
09/07/2013
Last updated
10/06/2022
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