JACOB ALAN BROKENSHAW

CLARKSTON, MI
NPI1679056873
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501018904)
Enumeration Date2018-09-13
Last Update Date2018-09-13
Business Address
JACOB ALAN BROKENSHAW DPT
32 S MAIN ST
CLARKSTON, MI 48346-1526
Phone number: 248-922-9001
Mailing Address
JACOB ALAN BROKENSHAW DPT
1773 STAR BATT DR
ROCHESTER HILLS, MI 48309-3708
Phone number: 248-601-9207