Individual provider · Type 1 NPI
Deeadra Lynania Ursin-Zachary, CRANIAL PROTHESIS
Prosthetic/Orthotic Supplier · Show Low, AZ
Practice location
2707 S White Mountain Rd Ste G
Show Low, AZ 85901-7343
Mailing address
1867 Rainbow Cir
Show Low, AZ 85901-7020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
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 1689411555
Deeadra Lynania Ursin-Zachary, CRANIAL PROTHESIS's National Provider Identifier is 1689411555, issued on Jul 9, 2024. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Show Low, AZ. The record was last updated on Jul 9, 2024.