Provider Demographics
NPI:1619300746
Name:ZIEGELE, SARA J (PT)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:J
Last Name:ZIEGELE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:J
Other - Last Name:OSSANNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:8700 W WATERTOWN PLANK RD
Mailing Address - Street 2:SPORTS MEDICINE
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-3595
Mailing Address - Country:US
Mailing Address - Phone:414-805-7100
Mailing Address - Fax:414-805-7171
Practice Address - Street 1:8700 W WATERTOWN PLANK RD
Practice Address - Street 2:SPORTS MEDICINE
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-3595
Practice Address - Country:US
Practice Address - Phone:414-805-7100
Practice Address - Fax:414-805-7171
Is Sole Proprietor?:No
Enumeration Date:2013-08-13
Last Update Date:2016-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI12344225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist