Individual
KRISTIN UPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
333 MADISON ST, JOLIET, IL 60435-8200
(815) 725-7133
Mailing address
5304 WHISPERING OAKS DR, PLAINFIELD, IL 60586-6633
(630) 632-8921
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.003981
IL
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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