Individual
STEPHEN BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1804 N 13TH 1/2 ST, MCALLEN, TX 78501-4122
(956) 212-8189
Mailing address
1804 N 13TH 1/2 ST, MCALLEN, TX 78501-4122
(956) 212-8189
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212262
TX
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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