Individual
JIJI UTHUPPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6466 TUPELO RD, ALLENTOWN, PA 18104-9578
(610) 349-9971
Mailing address
6466 TUPELO RD, ALLENTOWN, PA 18104-9578
(610) 349-9971
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI003830
PA
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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