Individual
ANNE BRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
3739 BUCKINGHAM RD, LOS ANGELES, CA 90016-5711
(310) 908-7204
Mailing address
3739 BUCKINGHAM RD, LOS ANGELES, CA 90016-5711
(310) 908-7204
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
343485
CA
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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