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Shantella Rios
Prosthetic/Orthotic Supplier in South Orange, New Jersey
NPI 1013539550

Shantella Rios is a Prosthetic/Orthotic Supplier based in Newark, NJ. Shantella Rios practices in South Orange, NJ. The NPI Number for Shantella Rios is 1013539550 and holds a License No. (New Jersey).

The current practice location address for Shantella Rios is 12 Academy St, South Orange, NJ and can be reached out via phone at 347-933-4122.

Location: 12 Academy St, South Orange, NJ, 07112-1609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013539550
Provider Name
Shantella Rios
Credential
Provider Entity Type
Individual
Gender
Female
Address
12 Academy St, South Orange, NJ, 07112-1609
Phone Number
347-933-4122
Fax Number
Provider Enumeration Date
05/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12 Academy St
City
South Orange
State
New Jersey
Zip
07079-1906
Phone Number
347-933-4122
Fax Number
person
Provider Business Mailing Address Details
Address
12 Academy St
City
South Orange
State
New Jersey
Zip
07079-1906
Phone Number
347-933-4122
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
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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