Mrs Jacqueline Bravo, PT | |
100 William O Stutes St, Suite A, Lafayette, LA 70506-7211 | |
(337) 406-0712 | |
(337) 406-0715 |
Full Name | Mrs Jacqueline Bravo |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 37 Years |
Location | 100 William O Stutes St, Lafayette, Louisiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417083320 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 00974F (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bravo Therapy Services, Inc. | 5991601528 | 2 |
Provider Name | Bravo Therapy Services, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043345747 PECOS PAC ID: 5991601528 Enrollment ID: O20031212000212 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jacqueline Bravo, PT 104 Marble Creek Cv, Lafayette, LA 70508-1710 Ph: (337) 406-0712 | Mrs Jacqueline Bravo, PT 100 William O Stutes St, Suite A, Lafayette, LA 70506-7211 Ph: (337) 406-0712 |
Peyton Matherne, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 233 Doucet Rd Ste B2, Lafayette, LA 70503 Phone: 337-991-9972 Fax: 337-991-9974 | |
The Specialist Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1206 E Broussard Rd Ste 100, Lafayette, LA 70508 Phone: 337-450-9111 Fax: 337-484-3164 | |
Ms. Alexandra Florian, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2448 Johnston St, Lafayette, LA 70503 Phone: 337-261-5151 | |
Prof. Renee Trahan Lane, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1398 E Bayou Pkwy Apt C, Lafayette, LA 70508 Phone: 337-280-7907 Fax: 337-993-7445 | |
Celia Marie Thibodeaux, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 337-261-6700 Fax: 337-261-6660 | |
Rehab Solutions Of Louisiana Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 353 Doucet Rd, A-2, Lafayette, LA 70503 Phone: 337-216-7758 Fax: 337-216-7787 | |
Tayler Mckay Sonnier, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Leon Dr, Lafayette, LA 70503 Phone: 337-521-7830 |