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Individual
JESSENIA BRAVO
Active
Individual
JESSENIA BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022682-1
NY
225XG0600X
Gerontology Occupational Therapist
022682-1
NY
225XN1300X
Neurorehabilitation Occupational Therapist
022682-1
NY
225XP0019X
Physical Rehabilitation Occupational Therapist
022682-1
NY
Other
Enumeration date
09/14/2018
Last updated
11/08/2023
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