Individual
ALAN DO VALE BRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
25333 BARTON RD, LOMA LINDA, CA 92350
(909) 558-6760
Mailing address
249A CRESCENT RD, SAN ANSELMO, CA 94960-2744
(415) 497-8849
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
292600
CA
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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