JACQUELINE BRAVO

LAFAYETTE, LA
NPI1417083320
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  00974F)
Enumeration Date2007-02-26
Last Update Date2007-07-08
Business Address
Mrs. JACQUELINE BRAVO P.T.
100 WILLIAM O STUTES ST SUITE A
LAFAYETTE, LA 70506-7211
Phone number: 337-406-0712
Mailing Address
Mrs. JACQUELINE BRAVO P.T.
104 MARBLE CREEK CV
LAFAYETTE, LA 70508-1710
Phone number: 337-406-0712
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