Individual
SUJATA MOHANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BOCO
Contact information
Practice address
400 SHADOW LN STE 110, LAS VEGAS, NV 89106-4355
(702) 800-6520
(702) 800-6492
Mailing address
400 SHADOW LN STE 110, LAS VEGAS, NV 89106-4355
(702) 800-6520
(702) 800-6492
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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