Buckwalter Bravo, Sara Lynn

Buckwalter Bravo, Sara Lynn is an individual health care provider with primary practice located at 95202A Hudson Ln , Fort Drum NY 13603-3041. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Buckwalter Bravo, Sara Lynn can be contacted via phone (717) 572-9813.

Contact Information

Primary practice address
95202A Hudson Ln Fort Drum NY 13603-3041
Phone: (717) 572-9813
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health 225XM0800X OC010940 Pennsylvania
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 025705 New York

Profile Details

NPI number 1417191388
LBN Legal business name Buckwalter Bravo, Sara Lynn
Credentials MS OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2009
Last updated Sep 28th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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