Organization
ADVANCED THERAPY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARA DEVAUN DPT (THERAPIST)
(231) 421-9201
Entity
Organization
Contact information
Practice address
872 MUNSON AVE STE A, TRAVERSE CITY, MI 49686-3638
(231) 421-9201
(231) 421-9193
Mailing address
872 MUNSON AVE STE A, TRAVERSE CITY, MI 49686-3638
(231) 421-9201
(231) 421-9193
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251H1300X
Human Factors Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
225XE0001X
Environmental Modification Occupational Therapist
—
—
225XE1200X
Ergonomics Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
—
225XH1300X
Human Factors Occupational Therapist
—
—
225XL0004X
Low Vision Occupational Therapist
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
10/17/2012
Last updated
12/31/2024
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