Individual
MRS. SIOMARA BRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
100 AVE LAUREL, SANTA JUANITA, BAYAMON, PR 00956-4816
(787) 778-4747
Mailing address
163 CALLE PASEO BARCELONA, SAVANNAH REAL, SAN LORENZO, PR 00754-3057
(787) 630-4335
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
878
PR
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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