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Mark Quenneville, CO,CPED
Pedorthist in Lansing, Michigan
NPI 1609117878

Mark Quenneville is a Pedorthist based in Lansing, MI. Mark Quenneville practices in Lansing, MI and has the professional credentials of CO,CPED. The NPI Number for Mark Quenneville is 1609117878 and holds a License No. (Michigan).

The current practice location address for Mark Quenneville is 4424 S Pennsylvania Ave, Lansing, MI and can be reached out via phone at 517-394-5850.

Location: 4424 S Pennsylvania Ave, Lansing, MI, 48910-7625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609117878
Provider Name
Mark Quenneville
Credential
CO,CPED
Provider Entity Type
Individual
Gender
Male
Address
4424 S Pennsylvania Ave, Lansing, MI, 48910-7625
Phone Number
517-394-5850
Fax Number
Provider Enumeration Date
03/12/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4424 S Pennsylvania Ave
City
Lansing
State
Michigan
Zip
48910-7625
Phone Number
517-394-5850
Fax Number
person
Provider Business Mailing Address Details
Address
4424 S Pennsylvania Ave
City
Lansing
State
Michigan
Zip
48910-7625
Phone Number
517-394-5850
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
()
Definition
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 the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Pedorthist
Speciality
-
Taxonomy
224L00000X
License No.
()
Definition
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
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