Individual
LEANA MARIE TANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11652 W GRAND RIVER AVE, LOWELL, MI 49331-8465
(616) 648-1057
Mailing address
11652 W GRAND RIVER AVE, LOWELL, MI 49331-8465
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007616
MI
Other
Enumeration date
11/05/2015
Last updated
07/17/2025
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