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General NPI Number Information
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NPI Number | 1235172271
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Entity Type | Individual
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Provider Name | REBECCA SEWELL PT
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Gender | Female
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 2350 N LAKE DR STE 306
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City | MILWAUKEE
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State | WI
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Zip | 53211-4528
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Country | US
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Telephone | 414-296-2692
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Fax | 414-298-7195
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Provider Business Mailing Address
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Address Line | 2323 N LAKE DR
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City | MILWAUKEE
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State | WI
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Zip | 53211-4508
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Country | US
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Telephone | 414-291-1066
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Fax | 414-291-1077
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 10176-024
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License Number State | WI
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