MEDICARE: LEANN M HARMAN PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	13156-24	WI

General Provider Information

NPI Number	:	1710298351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEANN M HARMAN PT

Provider Business Mailing Address
First Line	:	33900 HARPER AVE STE 104
Second Line	:
City	:	CLINTON TWP
State	:	MI
Zip	:	48035-4258
Country	:	US
Telephone Number	:	586-350-2644
Fax Number	:

Provider Business Practice Location Address
First Line	:	5333 N PORT WASHINGTON RD STE B
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53217
Country	:	US
Telephone Number	:	414-716-1770
Fax Number	:	414-716-1772

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2010
Last Update Date	:	02/11/2026

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