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Contact Information

JENNIFER BRAVO, PT
12324 KINGS POINT DR
LOVES PARK, IL61111-8961
 Phone: 815-919-4240
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JENNIFER BRAVO · (Female)

NPI Number 1922468883
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 03/03/2016
Last updated 09/14/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 070014785
  • TX License # 1282719
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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