Individual
MELANEY BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 11TH ST, FLORESVILLE, TX 78114-2403
(830) 216-7090
Mailing address
104 E ASHTON BLVD, FLORESVILLE, TX 78114-6745
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2063879
TX
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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