Provider Demographics
NPI:1881052686
Name:MAGIER, SARA JOYCE (OT)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:JOYCE
Last Name:MAGIER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17070 W 12 MILE RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-2116
Mailing Address - Country:US
Mailing Address - Phone:248-483-3990
Mailing Address - Fax:248-750-0692
Practice Address - Street 1:17070 W 12 MILE RD
Practice Address - Street 2:SUITE E
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-2116
Practice Address - Country:US
Practice Address - Phone:248-483-3990
Practice Address - Fax:248-750-0692
Is Sole Proprietor?:No
Enumeration Date:2016-02-08
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201008917225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist