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NPI Code Detail

MEDICARE: ROGER F AIELLO PHYSICAL THERAPIST

MEDICARE: ROGER F AIELLO PHYSICAL THERAPIST
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
1225100000XPhysical Therapist3979-024WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952512139
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROGER F AIELLO PHYSICAL THERAPIST
Provider Business Mailing Address
First Line : 1132 BLUEBIRD TRL
Second Line :
City : WAUNAKEE
State : WI
Zip : 53597-2616
Country : US
Telephone Number : 608-850-3639
Fax Number :
Provider Business Practice Location Address
First Line : 41 RICKEL RD
Second Line :
City : SUN PRAIRIE
State : WI
Zip : 53590-1840
Country : US
Telephone Number : 608-825-3242
Fax Number : 608-837-9484
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2007
Last Update Date : 07/08/2007

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