Individual provider · Type 1 NPI
Shantise Parker
Prosthetic/Orthotic Supplier · Maplewood, NJ
Practice location
2040 Millburn Ave Ste 305
Maplewood, NJ 07040-3716
Mailing address
1128 N Stiles St # A
Linden, NJ 07036-6122
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.
2 other providers at this address
About NPI 1881458792
Shantise Parker's National Provider Identifier is 1881458792, issued on Feb 12, 2024. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Maplewood, NJ. The record was last updated on Feb 12, 2024.