Vicky Gail Tanana
Occupational Therapist - Gerontology
29800 Hoover Rd
Warren
, Michigan 48093-3483
Vicky Gail Tanana
Occupational Therapist - Gerontology
29800 Hoover Rd
Warren
, Michigan 48093-3483
(248) 568-8915
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Vicky Gail Tanana
- 715 Fieldstone Dr
- Rochester Hills, MI
- Zip : 48309-1633
- Phone : (248) 568-8915
Second Address
- Vicky Gail Tanana
- 29800 Hoover Rd
- Warren, MI
- Zip : 48093-3483
- Phone : (586) 574-3444
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | 5201002288 | MI |
National Provider Identifier
| NPI | 1811494008 |
|---|---|
| Provider Name | Vicky Gail Tanana |
| First Address | Rochester Hills, MI 48309-1633 |
| Second Address | Warren, MI 48093-3483 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/04/2018 |
| Last Update Date | 12/04/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5201002288 | (05) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.