Individual
JACOB ALAN BROKENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
32 S MAIN ST, CLARKSTON, MI 48346-1526
(248) 922-9001
Mailing address
1773 STAR BATT DR, ROCHESTER HILLS, MI 48309-3708
(248) 601-9207
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018904
MI
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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