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General NPI Number Information
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NPI Number | 1881186922
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Entity Type | Individual
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Provider Name | SARAH MARIE AITA DPT
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Gender | Female
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Dates
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Enumeration Date | 06/05/2018
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | N112W15415 MEQUON RD
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City | GERMANTOWN
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State | WI
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Zip | 53022-3410
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Country | US
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Telephone | 262-250-7880
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Fax | 262-250-7887
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Provider Business Mailing Address
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Address Line | N136W14182 BONNIWELL RD
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City | GERMANTOWN
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State | WI
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Zip | 53022-1300
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Country | US
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Telephone | 262-424-2349
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 14276
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P18049
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License Number State | NC
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