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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JACQUELINE BRAVO, P.T.

Active Sole Proprietor

MRS. JACQUELINE BRAVO, P.T. is a Physical Therapy Assistant healthcare provider located in LAFAYETTE, Louisiana. NPI 1417083320 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LAFAYETTE, LA

Registration Details

NPI Number
1417083320
Provider Type
Individual
Gender
Female
NPI Issued
Feb 26, 2007 (19.476938877678 yrs)
Last Updated
Jul 8, 2007
License
00974F (LA)
Sole Proprietor
Yes

Practice Information

Address
100 WILLIAM O STUTES ST
SUITE A
LAFAYETTE, LA, 705067211
Browse LA providers · Browse ZIP 70506
Phone
3374060712
Fax
3374060715
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in LAFAYETTE, LA

Name Credential NPI
MR. JOHN EDWARD LAYNE DPT 1457357089
LYNN HOCUTT INZERELLA PT 1962400820
MRS. KIM BULLEN PT 1700886405
MR. WHITNEY JAMES DUHON III PHYSICAL THERAPIST 1013917467
MR. RUUD VUIJSTERS PT 1528055316
MS. ASHLEY ESKIND PT 1992792782
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.