Individual
RAJIV ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1675 MESQUITE AVE STE A, LAKE HAVASU CITY, AZ 86403-5665
(928) 680-4089
Mailing address
1675 MESQUITE AVE STE A, LAKE HAVASU CITY, AZ 86403-5665
(928) 680-4089
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
213000358
IL
224P00000X
Prosthetist
Primary
211000288
IL
Other
Enumeration date
10/04/2007
Last updated
03/12/2025
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