Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GUADALUPE BRAVO, CP
ActiveMR. GUADALUPE BRAVO, CP is a Physical Therapist Assistant healthcare provider located in DETROIT, Michigan. NPI 1619128030 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist Assistant · DETROIT, MI
Registration Details
- NPI Number
- 1619128030
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2008 (17.880149747285 yrs)
- Last Updated
- May 1, 2013
Practice Information
- Address
-
4646 JOHN R STDETROIT, MI, 482011916Browse MI providers · Browse ZIP 48201
- Phone
- 3135761000
- Fax
- 3135761865
- Primary Specialty
-
Physical Therapist Assistant
1744P3200X
Other Physical Therapist Assistant Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| MR. LORENZO D PEARSON II | CERT HAIR LOSS SPECI | 1558843037 |
| DIAMOND MARIE MASSEY | — | 1518437805 |
| MARLENA YOUNG | HAIR LOSS CERTIFICAT | 1184232829 |
| LAVERNE DENISE WILLIAMS | — | 1609473511 |
| DEYONTA NEWSOME | — | 1174106579 |
| MS. GLORIA D BLACKMON | — | 1619622354 |
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.