Individual provider · Type 1 NPI
Quinisha Perry
Prosthetic/Orthotic Supplier · Dolton, IL
NPI number
1104693290
Active
Practice location
14420 Woodlawn Ave
Dolton, IL 60419-1908
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 1104693290
Quinisha Perry's National Provider Identifier is 1104693290, issued on Dec 7, 2023. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Dolton, IL. The record was last updated on Dec 7, 2023.