Individual
DANIELLA ANTONELLA BRAVATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1400 E SOUTHERN AVE, TEMPE, AZ 85282-5691
(623) 688-0946
Mailing address
1400 E SOUTHERN AVE, TEMPE, AZ 85282-5691
(623) 688-0946
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6795
AZ
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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