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Individual

ELLEN BAIRNSFATHER UPTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
671 GRANTS FERRY RD STE A, FLOWOOD, MS 39232-6801
(769) 777-4400
(769) 777-4401
Mailing address
671 GRANTS FERRY RD STE A, FLOWOOD, MS 39232-6801
(769) 777-4400
(769) 777-4401

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA7066
MS

Other

Enumeration date
01/14/2020
Last updated
02/13/2024
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