Individual
BEATRICE JANKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
635 EXECUTIVE DR, TROY, MI 48083-4576
(248) 829-6002
Mailing address
635 EXECUTIVE DR, TROY, MI 48083-4576
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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