Most Relevant Information
Provider Data
| NPI Number: | 1003204835 |
| Provider Name: | BRIANNA ALEXANDRIA HENDRA M.S., A.T., A.T.C. |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | AT.004820 |
Most Important Dates
| Enumeration Date: | 01/01/2015 |
| Last Updated: | 05/01/2019 |
Provider Practice Location
18601 MIDDLEBELT RD
ROMULUS
MI
481749290
Practice Location Phone/Fax
| Phone: | 6617536579 |
| Fax: |
Provider Mailing Location
998 E FOREST AVE
YPSILANTI
MI
481983877
Provider Mailing Phone/Fax
| Phone: | 6617536579 |
| Fax: |