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Organization
SANDRA J UPPVALL, PT, LMT
Active
Organization
SANDRA J UPPVALL, PT, LMT
Active
Other names
Northeast Physical Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA J. UPPVALL P.T. (SOLE PROPRIETOR)
(607) 257-2743
Entity
Organization
Contact information
Practice address
111 KAY ST, ITHACA, NY 14850-1703
(607) 257-2743
(607) 257-5809
Mailing address
111 KAY ST, ITHACA, NY 14850-1703
(607) 257-2743
(607) 257-5809
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
012344-1
NY
Other
Enumeration date
05/03/2007
Last updated
05/07/2017
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