Provider Demographics
NPI:1063713725
Name:BRAVO, CLAUDIA F (MOT, OTR/L)
Entity type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:F
Last Name:BRAVO
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13225 CENTREVILLE ST
Mailing Address - Street 2:
Mailing Address - City:OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11417-2641
Mailing Address - Country:US
Mailing Address - Phone:917-254-7915
Mailing Address - Fax:
Practice Address - Street 1:13225 CENTREVILLE ST
Practice Address - Street 2:
Practice Address - City:OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11417-2641
Practice Address - Country:US
Practice Address - Phone:917-254-7915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-11
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016374-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist