Organization
BRAVO OCCUPATIONAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSENIA BRAVO OTR/L (OCCUPATIONAL THERAPIST)
(917) 847-8697
Entity
Organization
Contact information
Practice address
111 W OLD COUNTRY RD, HICKSVILLE, NY 11801-4036
(516) 433-4570
Mailing address
104 MEISTER BLVD, FREEPORT, NY 11520-5919
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
11/08/2023
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