Individual provider · Type 1 NPI
Shantella Rios
Prosthetic/Orthotic Supplier · South Orange, NJ
Practice location
12 Academy St
South Orange, NJ 07079-1906
Mailing address
357 Hawthorne Ave Fl 2
Newark, NJ 07112-1609
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 1013539550
Shantella Rios's National Provider Identifier is 1013539550, issued on May 6, 2020. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in South Orange, NJ. The record was last updated on May 6, 2020.