Female

Leana M. Tank

Occupational Therapist in Grand Rapids, MI(View on Map)

Full Name

Leana Marie Tank

NPI Number

1083087464

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/05/2015

Specialties

(Taxonomies)

Code

225X00000X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

5201007616

Contact
Information

Purpose

Mailing
Location

Address

1115 HOPE ST SE
1115 HOPE ST SE

City

Grand Rapids
Grand Rapids

State

MI
MI

Postal Code

49506-1562
49506-1562

Country

US
US

Telephone Number

N/A
(616) 648-1057

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/05/2015

Provider Address

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