Individual
SUE ANN TUPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7571 STATE ROUTE 54, REHAB SERVICES DEPT., IRA DAVENPORT MEMORIAL HOSPITAL, BATH, NY 14810-9504
(607) 776-8880
Mailing address
114 FLORADALE RD, LIVERPOOL, NY 13088-5622
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005493-1
NY
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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