Provider Demographics
NPI:1811452477
Name:DAVEY, SARA MARIE (MSOT, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:MARIE
Last Name:DAVEY
Suffix:
Gender:F
Credentials:MSOT, OTR/L
Other - Prefix:MS
Other - First Name:SARA
Other - Middle Name:MARIE
Other - Last Name:LACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSOT, OTR/L
Mailing Address - Street 1:4032 N OSAGE DR SW
Mailing Address - Street 2:
Mailing Address - City:GRANDVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49418-2352
Mailing Address - Country:US
Mailing Address - Phone:616-821-0274
Mailing Address - Fax:
Practice Address - Street 1:2280 BYRON VIEW DR SW
Practice Address - Street 2:
Practice Address - City:BYRON CENTER
Practice Address - State:MI
Practice Address - Zip Code:49315-7817
Practice Address - Country:US
Practice Address - Phone:541-716-5093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-07
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist