Basic Information
Provider Information
NPI: 1023467776
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAARI
FirstName: ELIZABETH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: PTA
OtherOrganizationName:  
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OtherLastName:  
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Mailing Information
Address1: 100 E HIGHLAND DR
Address2:  
City: OCONTO FALLS
State: WI
PostalCode: 541541001
CountryCode: US
TelephoneNumber: 9208483272
FaxNumber:  
Practice Location
Address1: 7517 WEST COLD SPRING ROAD
Address2: GREENFIELD REHABILITATION AGENCY
City: GREEN FIELD
State: WI
PostalCode: 532202814
CountryCode: US
TelephoneNumber: 4143276603
FaxNumber: 4143275411
Other Information
ProviderEnumerationDate: 06/03/2016
LastUpdateDate: 08/31/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/31/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X WIY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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