Healthcare Provider Details

I. General information

NPI: 1457296360
Provider Name (Legal Business Name): SARAH GALIZIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30200 TELEGRAPH RD STE 207
BINGHAM FARMS MI
48025-5711
US

IV. Provider business mailing address

24925 MYLER ST
TAYLOR MI
48180-2186
US

V. Phone/Fax

Practice location:
  • Phone: 248-712-1129
  • Fax:
Mailing address:
  • Phone: 248-712-1129
  • Fax: 248-792-3249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: