Individual provider · Type 1 NPI

Queionna Mone Rennick, 32WG07641300

Prosthetic/Orthotic Supplier · Jersey City, NJ

NPI number 1053028977 Active

Practice location

203 Belvidere Ave
Jersey City, NJ 07306-6604

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000X32WG07641300 (NJ)

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.

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About NPI 1053028977

Queionna Mone Rennick, 32WG07641300's National Provider Identifier is 1053028977, issued on Oct 31, 2022. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Jersey City, NJ. The record was last updated on Oct 31, 2022.