Healthcare Provider Details

I. General information

NPI: 1104457134
Provider Name (Legal Business Name): SARA HALAMA DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARA MEGAN ROY

II. Dates (important events)

Enumeration Date: 01/29/2020
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3477 E GRAND RIVER AVE
HOWELL MI
48843-8552
US

IV. Provider business mailing address

33900 HARPER AVE STE 104
CLINTON TWP MI
48035-4258
US

V. Phone/Fax

Practice location:
  • Phone: 248-956-6400
  • Fax: 248-956-6410
Mailing address:
  • Phone: 586-350-2644
  • Fax: 586-541-3735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501019495
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: