AZMAN KIRK BRAVO

LAFAYETTE, LA
NPI1578648747
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  00979F)
Enumeration Date2006-10-26
Last Update Date2007-07-08
Business Address
-- AZMAN KIRK BRAVO Physical Therapist
100 WILLIAM O STUTES ST SUITE A
LAFAYETTE, LA 70506-7211
Phone number: 337-406-0712
Mailing Address
-- AZMAN KIRK BRAVO Physical Therapist
104 MARBLE CREEK CV
LAFAYETTE, LA 70508-1710
Phone number: 337-296-5604
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