Individual
JOHN BRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
300 OAK ST, SUITE 450, PEMBROKE, MA 02359-1984
(781) 829-9966
(781) 829-2164
Mailing address
300 OAK ST, SUITE 450, PEMBROKE, MA 02359-1984
(781) 829-9966
(781) 829-2164
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1876
MA
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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