Provider Demographics
NPI:1477227635
Name:MORRIS, SARA RUTH (OTRL)
Entity Type:Individual
Prefix:MISS
First Name:SARA
Middle Name:RUTH
Last Name:MORRIS
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3288 SANDY SHORE DR
Mailing Address - Street 2:
Mailing Address - City:METAMORA
Mailing Address - State:MI
Mailing Address - Zip Code:48455-8915
Mailing Address - Country:US
Mailing Address - Phone:810-728-8334
Mailing Address - Fax:
Practice Address - Street 1:846 E GRAND RIVER AVE UNIT B
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-2432
Practice Address - Country:US
Practice Address - Phone:517-672-5777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201011233225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist