Individual provider · Type 1 NPI

Janice Gail Brackenbury, PTA

Physical Therapy Assistant · Clinton Township, MI

NPI number 1710195698 Active

Practice location

16200 19 Mile Rd
Clinton Township, MI 48038-1103

Call (586) 416-2065 Map

Fax (586) 228-7159

Mailing address

2818 Serra Dr
Sterling Heights, MI 48310-5257

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06001592A (IN)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1710195698

Janice Gail Brackenbury, PTA's National Provider Identifier is 1710195698, issued on May 21, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Clinton Township, MI. The record was last updated on Jul 8, 2007.