Individual
MISS SARAH LYNN GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
39450 W 12 MILE ROAD, SUITE 1A, NOVI, MI 48377-0000
(248) 344-2300
Mailing address
39751 GREENVIEW PL APT 4, PLYMOUTH, MI 48170-4567
(734) 353-8125
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003609
MI
Other
Enumeration date
07/08/2013
Last updated
10/25/2024
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