Provider Demographics
NPI:1811950520
Name:ALLEN-BURNSTEIN, BROOKE T (MA, ATC, GFI)
Entity type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:T
Last Name:ALLEN-BURNSTEIN
Suffix:
Gender:F
Credentials:MA, ATC, GFI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4185 N THOMAS RD
Mailing Address - Street 2:
Mailing Address - City:FREELAND
Mailing Address - State:MI
Mailing Address - Zip Code:48623-8854
Mailing Address - Country:US
Mailing Address - Phone:989-781-0669
Mailing Address - Fax:
Practice Address - Street 1:4185 N THOMAS RD
Practice Address - Street 2:
Practice Address - City:FREELAND
Practice Address - State:MI
Practice Address - Zip Code:48623-8854
Practice Address - Country:US
Practice Address - Phone:989-781-0669
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer