Individual
MS. MARIE STELLA BRAVANTE IMAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
300 N KENTUCKY AVE, ROSWELL, NM 88201-4636
(505) 627-0192
(505) 627-2544
Mailing address
700 N MISSOURI AVE APT 38, ROSWELL, NM 88201-4861
(505) 627-0192
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2153
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78300070
—
NM
Enumeration date
01/17/2007
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us