Individual provider · Type 1 NPI

Mark Quenneville, CO, CPED

Orthotist · Lansing, MI

NPI number 1609117878 Active

Practice location

4424 S Pennsylvania Ave
Lansing, MI 48910-7625

Specialties and licenses

TaxonomyCodeLicense
Orthotist Primary 222Z00000XNone listed
Pedorthist 224L00000XNone listed

Orthotist: A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement th…

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About NPI 1609117878

Mark Quenneville, CO, CPED's National Provider Identifier is 1609117878, issued on Mar 12, 2013. The primary taxonomy on file is Orthotist (222Z00000X), and the practice location is in Lansing, MI. The record was last updated on Mar 12, 2013.