SearchMichigan225200000X

Janice Brackenbury, PTA

NPI 1710195698 · on the registry since 2007

Practice

Address
16200 19 Mile Rd
Clinton Township, MI 48038
Phone
(586) 416-2065
Fax
(586) 228-7159
Organisation at this address
Center For Positive Living Supports
Inferred from a shared address, not stated in the registry.
Clinicians at this address
76

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan