JANICE GAIL BRACKENBURY

CLINTON TOWNSHIP, MI
NPI1710195698
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06001592A)
Enumeration Date2007-05-21
Last Update Date2007-07-08
Business Address
Mrs. JANICE GAIL BRACKENBURY PTA
16200 19 MILE RD
CLINTON TOWNSHIP, MI 48038-1103
Phone number: 586-416-2065
Mailing Address
Mrs. JANICE GAIL BRACKENBURY PTA
2818 SERRA DR
STERLING HEIGHTS, MI 48310-5257
Phone number: 586-977-0052