Individual
DIANA Y BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,OTR/L
Contact information
Practice address
2900 S COMMERCE PKWY, WESTON, FL 33331-3622
(954) 385-6281
(954) 385-6289
Mailing address
2900 S COMMERCE PKWY, WESTON, FL 33331-3622
(954) 385-6281
(954) 385-6289
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
OT 10831
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8902054 00
—
FL
Enumeration date
04/03/2007
Last updated
04/03/2012
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