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NPI 1841176476

NPI 1841176476 : SARAH WAHLQUIST OTR/L : HAYWARD, WI

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General NPI Number Information
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    NPI Number           |    1841176476
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH WAHLQUIST OTR/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/11/2025
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    Last Update Date     |    08/11/2025
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Provider Practice Location Address
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    Address Line         |    15954 RIVERS EDGE DR 
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    City                 |    HAYWARD
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    State                |    WI
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    Zip                  |    54843-7800
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    Country              |    US
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    Telephone            |    715-634-2541
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10574 E MIDDLE RIVER RD 
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    City                 |    POPLAR
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    State                |    WI
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    Zip                  |    54864-9171
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    Country              |    US
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    Telephone            |    218-390-7770
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    Fax                  |    
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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        |    225XP0200X
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    Taxonomy Name        |    Pediatric Occupational Therapist
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    License Number       |    8981-26
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    License Number State |    WI
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