MEDICARE: SARA SUE SAWYER PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	10966-24	WI

General Provider Information

NPI Number	:	1093985608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA SUE SAWYER PT

Provider Business Mailing Address
First Line	:	3360 GATEWAY RD STE 100
Second Line	:
City	:	BROOKFIELD
State	:	WI
Zip	:	53045-5115
Country	:	US
Telephone Number	:	920-988-6788
Fax Number	:

Provider Business Practice Location Address
First Line	:	3360 GATEWAY RD STE 100
Second Line	:
City	:	BROOKFIELD
State	:	WI
Zip	:	53045-5115
Country	:	US
Telephone Number	:	920-988-6788
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2008
Last Update Date	:	05/20/2023

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Directions to “ SARA SUE SAWYER PT” Practice Location

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