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Imelda Pena, CPO
Prosthetist in Live Oak, Texas
NPI 1508639964

Imelda Pena is a Prosthetist based in Live Oak, TX. Imelda Pena practices in Live Oak, TX and has the professional credentials of CPO. The NPI Number for Imelda Pena is 1508639964 and holds a License No. 1312 (Texas).

The current practice location address for Imelda Pena is 12315 Judson Rd Ste 206, Live Oak, TX and can be reached out via phone at 210-657-8100 and via fax at 210-657-8105.

Location: 12315 Judson Rd Ste 206, Live Oak, TX, 78233-3264
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508639964
Provider Name
Imelda Pena
Credential
CPO
Provider Entity Type
Individual
Gender
Female
Address
12315 Judson Rd Ste 206, Live Oak, TX, 78233-3264
Phone Number
210-657-8100
Fax Number
210-657-8105
Provider Enumeration Date
11/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12315 Judson Rd Ste 206
City
Live Oak
State
Texas
Zip
78233-3264
Phone Number
210-657-8100
Fax Number
210-657-8105
person
Provider Business Mailing Address Details
Address
12315 Judson Rd Ste 206
City
Live Oak
State
Texas
Zip
78233-3264
Phone Number
210-657-8100
Fax Number
210-657-8105
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
1312 (Texas)
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
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
1312 (Texas)
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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