Individual provider · Type 1 NPI
Keona Monique Isaac
Prosthetic/Orthotic Supplier · Tallulah, LA
Practice location
120 Kimbrough Blvd
Tallulah, LA 71282-4307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | 1334671108 (LA) |
Prosthetic/Orthotic Supplier: 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.
About NPI 1609647726
Keona Monique Isaac's National Provider Identifier is 1609647726, issued on Jan 9, 2024. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Tallulah, LA. The record was last updated on Jan 9, 2024.