Individual
MS. JENNIFER JO BRACKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR
Contact information
Practice address
5422 E COUNTY ROAD 600 S, PLAINFIELD, IN 46168-8638
(317) 836-5484
Mailing address
4733 MECKLENBURG DR, PLAINFIELD, IN 46168-8450
(317) 560-8210
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003098A
IN
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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