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Shantise Parker
Prosthetic/Orthotic Supplier in Maplewood, New Jersey
NPI 1881458792

Shantise Parker is a Prosthetic/Orthotic Supplier based in Linden, NJ. Shantise Parker practices in Maplewood, NJ. The NPI Number for Shantise Parker is 1881458792 and holds a License No. (New Jersey).

The current practice location address for Shantise Parker 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, 07036-6122
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881458792
Provider Name
Shantise Parker
Credential
Provider Entity Type
Individual
Gender
Female
Address
2040 Millburn Ave Ste 305, Maplewood, NJ, 07036-6122
Phone Number
973-901-3640
Fax Number
Provider Enumeration Date
02/12/2024
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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