John M. Tanja OTR
Occupational Therapist in Grand Rapids, MI(View on Map)
Full Name
John Mitchell Tanja OTR
NPI Number
1235632704
NPI Type
Individual Provider
Gender
Male
Enumeration Date
03/12/2018
Specialties
(Taxonomies)Licenses
State
Michigan
License Number
5201003810
Contact
Information
Purpose
Mailing
Location
Address
3350 BROADMOOR AVE SE
3350 BROADMOOR AVENUE SE
City
Grand Rapids
Grand Rapids
State
MI
MI
Postal Code
49512-2867
49512
Country
US
US
Telephone Number
N/A
(616) 391-7792
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/12/2018
Provider Address
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