Individual provider · Type 1 NPI

Imelda Pena, CPO

Prosthetist · Live Oak, TX

NPI number 1508639964 Active

Practice location

12315 Judson Rd Ste 206
Live Oak, TX 78233-3264

Fax (210) 657-8105

Specialties and licenses

TaxonomyCodeLicense
Orthotist 222Z00000X1312 (TX)
Prosthetist Primary 224P00000X1312 (TX)

Prosthetist: 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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About NPI 1508639964

Imelda Pena, CPO's National Provider Identifier is 1508639964, issued on Nov 6, 2023. The primary taxonomy on file is Prosthetist (224P00000X), and the practice location is in Live Oak, TX. The record was last updated on Nov 6, 2023.