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Madonna Ibrahim, CPO
Orthotist in San Diego, California
NPI 1992281489

Madonna Ibrahim is a Orthotist based in San Diego, CA. Madonna Ibrahim practices in San Diego, CA and has the professional credentials of CPO. The NPI Number for Madonna Ibrahim is 1992281489 and holds a License No. CPO04103 (California).

The current practice location address for Madonna Ibrahim is 7910 Frost St Ste 320, San Diego, CA and can be reached out via phone at 619-488-6196.

Location: 7910 Frost St Ste 320, San Diego, CA, 92123-2791
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992281489
Provider Name
Madonna Ibrahim
Credential
CPO
Provider Entity Type
Individual
Gender
Female
Address
7910 Frost St Ste 320, San Diego, CA, 92123-2791
Phone Number
619-488-6196
Fax Number
Provider Enumeration Date
07/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7910 Frost St Ste 320
City
San Diego
State
California
Zip
92123
Phone Number
619-488-6196
Fax Number
person
Provider Business Mailing Address Details
Address
7910 Frost St Ste 320
City
San Diego
State
California
Zip
92123
Phone Number
619-488-6196
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
CPO04103 ()
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.
CPO04103 ()
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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