Individual
DANA LYNN LEANNAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1310 E CLOVERLAND DR, IRONWOOD, MI 49938-1606
(903) 932-4200
(906) 932-4201
Mailing address
1310 E CLOVERLAND DR, IRONWOOD, MI 49938-1606
(903) 932-4200
(906) 932-4201
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15095
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201010074
STATE LICENSE NUMBER
MI
Enumeration date
03/05/2012
Last updated
02/13/2018
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