Individual
JEFFREY BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
248 W PONCE DE LEON AVE, DECATUR, GA 30030-3269
(404) 263-0631
Mailing address
3841 OAKVIEW CHURCH POST RD, DONALSONVILLE, GA 39845-3219
(229) 309-4365
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
GA
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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