Individual
MATTHEW SCOT BRAVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1801 HICKMAN RD, DES MOINES, IA 50314-1548
(515) 282-2375
Mailing address
11729 NW 115TH AVE, GRANGER, IA 50109-9722
(515) 999-2149
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01932
IA
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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