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Kitty A Roark.
Prosthetic/Orthotic Supplier in Shreveport, Louisiana
NPI 1548447568

Kitty A Roark. is a Prosthetic/Orthotic Supplier based in Shreveport, LA. Kitty A Roark. practices in Shreveport, LA. The NPI Number for Kitty A Roark. is 1548447568 and holds a License No. 00193754 (Louisiana).

The current practice location address for Kitty A Roark. is 855 Pierremont Rd Ste 126, Shreveport, LA and can be reached out via phone at 318-868-5851 and via fax at 318-798-3348.

Location: 855 Pierremont Rd Ste 126, Shreveport, LA, 71106-2074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548447568
Provider Name
Kitty A Roark.
Credential
Provider Entity Type
Organization
Address
855 Pierremont Rd Ste 126, Shreveport, LA, 71106-2074
Phone Number
318-868-5851
Fax Number
318-798-3348
Provider Enumeration Date
01/22/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
855 Pierremont Rd Ste 126
City
Shreveport
State
Louisiana
Zip
71106-2074
Phone Number
318-868-5851
Fax Number
318-798-3348
person
Provider Business Mailing Address Details
Address
855 Pierremont Rd Ste 126
City
Shreveport
State
Louisiana
Zip
71106-2074
Phone Number
318-868-5851
Fax Number
318-798-3348
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
00193754 (Louisiana)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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