Organization
BRAVARD CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA SUZANNE BRAVARD DC (PRESIDENT)
(563) 508-5870
Entity
Organization
Contact information
Practice address
1523 47TH AVE, SUITE 2, MOLINE, IL 61265-7089
(309) 764-7272
(309) 764-7272
Mailing address
1523 47TH AVE, SUITE 2, MOLINE, IL 61265-7089
(309) 764-7272
(309) 764-7272
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011152
IL
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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