Individual
JACKLYN BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
25911 MIDDLEBELT RD, FARMINGTON HILLS, MI 48336-1402
(248) 471-9580
Mailing address
38716 WARWICKSHIRE DR, STERLING HEIGHTS, MI 48312-1165
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
81812
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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