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Shantise Michelle Llc
Prosthetic/Orthotic Supplier in Maplewood, New Jersey
NPI 1639789340

Shantise Michelle Llc is a Prosthetic/Orthotic Supplier based in Maplewood, NJ. Shantise Michelle Llc practices in Maplewood, NJ. The NPI Number for Shantise Michelle Llc is 1639789340 and holds a License No. (New Jersey).

The current practice location address for Shantise Michelle Llc is 2040 Millburn Ave Ste 305, Maplewood, NJ and can be reached out via phone at 973-901-3640.

Location: 2040 Millburn Ave Ste 305, Maplewood, NJ, 07040-3716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639789340
Provider Name
Shantise Michelle Llc
Credential
Provider Entity Type
Organization
Address
2040 Millburn Ave Ste 305, Maplewood, NJ, 07040-3716
Phone Number
973-901-3640
Fax Number
Provider Enumeration Date
08/06/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2040 Millburn Ave Ste 305
City
Maplewood
State
New Jersey
Zip
07040-3716
Phone Number
973-901-3640
Fax Number
person
Provider Business Mailing Address Details
Address
2040 Millburn Ave Ste 305
City
Maplewood
State
New Jersey
Zip
07040-3716
Phone Number
973-901-3640
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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