Kavella Prosthetics and Orthotics LLC
NPI #1801503735 in Colleyville, Texas
Provider Information
- NPI Number
- 1801503735
- Entity Type
- Organization
- Organization Name
- Kavella Prosthetics and Orthotics LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Oct 31, 2022
- Last Updated
- Dec 20, 2023
Practice Location
- Address
- 99 CHEEK SPARGER RD STE 104A
- City
- Colleyville
- State
- Texas
- ZIP Code
- 76034-2204
- Phone
- (682) 390-4499
Authorized Official
- Name
- BATOOL SUMMER SIDDIQUI, LCPO
- Title
- OWNER/CLINICIAN
- Phone
- (682) 390-4499
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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