Individual
BROOKLYNN E TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 W MIDLAND RD, AUBURN, MI 48611-9411
(989) 324-8252
Mailing address
220 W MIDLAND RD, AUBURN, MI 48611-9411
(989) 324-8252
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
5201014148
MI
Other
Enumeration date
06/26/2023
Last updated
03/17/2025
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