Mary Lou Hanks, ATC
NPI #1366590499 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1366590499
- Entity Type
- Individual
- Name
- Mary Lou Hanks, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist, Other
- Credential
- ATC
- Enumeration Date
- Jan 8, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 319 SHELDON BLVD SE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49503-4515
- Phone
- (616) 443-6325
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other |
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