Individual
HANNAH LALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8000
Mailing address
5533 COREY CV, GAYLORD, MI 49735-8865
(989) 350-4512
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501301867
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501301867
PHYSICAL THERAPY LICENSE
MI
Enumeration date
11/08/2022
Last updated
11/08/2022
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