person
Jack Booden JR., CPO
Prosthetist in Norfolk, Virginia
NPI 1841319415

Jack Booden JR. is a Prosthetist based in Norfolk, VA. Jack Booden JR. practices in Norfolk, VA and has the professional credentials of CPO. The NPI Number for Jack Booden JR. is 1841319415 and holds a License No. CPO 00503 (Virginia).

The current practice location address for Jack Booden JR. is 2418 Granby St, Norfolk, VA and can be reached out via phone at 757-627-4191 and via fax at 757-627-8709. You can also correspond with Jack Booden JR. through the mailing address at 2418 GRANBY ST, NORFOLK, VA - 23517-1422 (mailing address contact number: 757-627-4191).

Location: 2418 Granby St, Norfolk, VA, 23517-1422
person
Provider Profile Details
NPI Number
1841319415
Provider Name
Jack Booden JR.
Credential
CPO
Provider Entity Type
Individual
Gender
Male
Address
2418 Granby St, Norfolk, VA, 23517-1422
Phone Number
757-627-4191
Fax Number
757-627-8709
Provider Enumeration Date
03/28/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2418 Granby St
City
State
Zip
23517-1422
Phone Number
757-627-4191
Fax Number
757-627-8709
person
Provider Business Mailing Address Details
Address
2418 Granby St
City
State
Zip
23517-1422
Phone Number
757-627-4191
Fax Number
757-627-8709
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
License No.
CPO 00503 ()
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
License No.
CPO 00503 ()
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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