Individual
SARA GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
1152 W CONNIE LN, SANFORD, MI 48657-9759
(231) 519-9000
Mailing address
1152 W CONNIE LN, SANFORD, MI 48657-9759
(231) 519-9000
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
67761
MI
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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