| Leana Marie Tank, | |
|
11652 W Grand River Ave, Lowell, MI 49331-8465 | |
| (616) 648-1057 | |
| Not Available |
| Full Name | Leana Marie Tank |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 11652 W Grand River Ave, Lowell, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083087464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 5201007616 (Michigan) | Primary |
| Provider Name | Hope Network West Michigan |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679558670 PECOS PAC ID: 5395837603 Enrollment ID: O20070816000328 |
| Provider Name | Hope Network Behavioral Health Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043295934 PECOS PAC ID: 9537251756 Enrollment ID: O20070817000312 |
| Mailing Address | Practice Location Address |
|---|---|
| Leana Marie Tank, 11652 W Grand River Ave, Lowell, MI 49331-8465 Ph: () - | Leana Marie Tank, 11652 W Grand River Ave, Lowell, MI 49331-8465 Ph: (616) 648-1057 |
Linda Ann Bennett, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 371 Sudan Dr Se, Lowell, MI 49331 Phone: 616-897-6836 | |
Ruby Ellen Schaefer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 N Center St, Lowell, MI 49331 Phone: 616-897-8473 | |
Katherine Patricia Wilhour, MS OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 525 N Hudson St, Lowell, MI 49331 Phone: 908-752-0730 |