Alexander James Bravo, DPT | |
955 Chambers St, Suite G1, Ogden, UT 84403-4595 | |
(801) 941-2137 | |
Not Available |
Full Name | Alexander James Bravo |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 13 Years |
Location | 955 Chambers St, Ogden, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548552300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 7963402-2401 (Utah) | Primary |
Provider Name | The Clinic-physical Therapy & Human Performance, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1801283668 PECOS PAC ID: 2567776099 Enrollment ID: O20150728006018 |
Mailing Address | Practice Location Address |
---|---|
Alexander James Bravo, DPT 2206 Jennifer Dr, Ogden, UT 84403-4983 Ph: (801) 941-2137 | Alexander James Bravo, DPT 955 Chambers St, Suite G1, Ogden, UT 84403-4595 Ph: (801) 941-2137 |
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