Individual
CASSI UPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 HAWTHORNE LN, SULLIVAN, IL 61951-9490
(217) 728-4327
Mailing address
1021 N 2ND ST, GAYS, IL 61928-9796
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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