Individual
JULIUS BRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
12324 KINGS POINT DR, LOVES PARK, IL 61111-8961
(815) 919-4246
Mailing address
12324 KINGS POINT DR, LOVES PARK, IL 61111-8961
(815) 919-4246
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
1298230
TX
Other
Enumeration date
04/25/2018
Last updated
09/13/2018
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