Individual
MRS. JENNIFER BRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
12324 KINGS POINT DR, LOVES PARK, IL 61111-8961
(815) 919-4240
Mailing address
12324 KINGS POINT DR, LOVES PARK, IL 61111-8961
(815) 919-4240
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070014785
IL
2251G0304X
Geriatric Physical Therapist
Primary
1282719
TX
Other
Enumeration date
03/03/2016
Last updated
09/14/2018
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