IndividualActive
Alicia Purdum, BOCO, BOCP
NPI 1043735871 · Orthotist · Las Vegas, NV
Provider details
- NPI number
- 1043735871
- Entity type
- Individual
- Primary specialty
- OrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- BOCO, BOCP
- Sex
- Female
- Sole proprietor
- No
- License
- C52329 (NV)
Practice location
810 S Durango Dr Ste 100
Las Vegas, NV 89145-2487
Phone: (702) 932-1300
Fax: (702) 848-4990
Mailing address
810 S Durango Dr Ste 100
Las Vegas, NV 89145-2487
Registry dates
- Enumerated
- 2017-08-14
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.