Provider Demographics
NPI:1346289378
Name:BRAVIS ENTERPRISES
Entity Type:Organization
Organization Name:BRAVIS ENTERPRISES
Other - Org Name:BUTLER REHABILITATION CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:E
Authorized Official - Last Name:EROH
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:724-282-0755
Mailing Address - Street 1:200 RENAISSANCE DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-5682
Mailing Address - Country:US
Mailing Address - Phone:724-282-0755
Mailing Address - Fax:724-282-7723
Practice Address - Street 1:200 RENAISSANCE DR
Practice Address - Street 2:SUITE 301
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-5682
Practice Address - Country:US
Practice Address - Phone:724-282-0755
Practice Address - Fax:724-282-7723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-05
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASTATE APPROVED,NO #2278P1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2278P1005XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary RehabilitationGroup - Multi-Specialty