MARY LOU HANKS ATC NPI 1366590499

NPI Information

Mary Lou Hanks, ATC is a specialist technologist other in Grand Rapids, MI. The provider is general classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. Mary Lou Hanks, ATC NPI is 1366590499. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

319 SHELDON BLVD SE
GRAND RAPIDS, MI
ZIP 49503-515
Phone: (616) 443-6325

The enumeration date for this NPI number is 1/8/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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