Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John Mitchell Tanja, OTR

Individual provider Occupational Therapist · NPI 1235632704

John Mitchell Tanja, OTR is an Occupational Therapist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018
Specialties on file
2
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

3350 Broadmoor Ave SE
Grand Rapids, MI 49512
Phone: (616) 391-7792
Fax: (616) 391-7799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5201003810 (MI)
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1235632704
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR
Sole proprietorNo
NPI enumeratedMarch 12, 2018
Last updated in NPPESMarch 12, 2018

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