Provider Demographics
NPI:1871992537
Name:ANDREUCCI, SARAH JEAN (PT, DPT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JEAN
Last Name:ANDREUCCI
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:JEAN
Other - Last Name:LAMBIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1836 E RUSK AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53207-2556
Mailing Address - Country:US
Mailing Address - Phone:262-305-3777
Mailing Address - Fax:
Practice Address - Street 1:1836 E RUSK AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53207-2556
Practice Address - Country:US
Practice Address - Phone:262-305-3777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-19
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI12708-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist