| Provider / Organization | NPI | Date Certified |
|---|---|---|
| OMAR BRACAMONTES | 1669071031 | 2020-10-18 |
Omar Bracamontes is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1669071031. Registration indicates Omar Bracamontes is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapy Assistant (Physical Therapy Assistant, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Omar Bracamontes PTA |
| Practice Office Address | 26471 CROWN VALLEY PKWY MISSION VIEJO, CA US |
| Practice Office Telephone | 9499162601 |
| Mailing Address | 26471 CROWN VALLEY PKWY MISSION VIEJO, CA 926916378 US |
| Business Telephone | 9499162601 |
| Code | Practice | License No State |
|---|---|---|
| 225200000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapy Assistant Physical Therapy Assistant Speech/Occupational/Physical Therapy/Chiropractor Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 50828
CA |