Provider Demographics
NPI:1912205980
Name:ZANOTTI, SARAH GRACE (DPT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:GRACE
Last Name:ZANOTTI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:GRACE
Other - Last Name:ZAHRINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23091 E MAIN ST STE E
Mailing Address - Street 2:
Mailing Address - City:ARMADA
Mailing Address - State:MI
Mailing Address - Zip Code:48005-4706
Mailing Address - Country:US
Mailing Address - Phone:586-784-6004
Mailing Address - Fax:586-784-6009
Practice Address - Street 1:23091 E MAIN ST STE E
Practice Address - Street 2:
Practice Address - City:ARMADA
Practice Address - State:MI
Practice Address - Zip Code:48005-4706
Practice Address - Country:US
Practice Address - Phone:586-784-6004
Practice Address - Fax:586-784-6009
Is Sole Proprietor?:No
Enumeration Date:2011-03-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501015493225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist