Individual
JILL LOUISE UPHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
74 GRAY RD, FALMOUTH, ME 04105-2019
(207) 797-3006
Mailing address
16 TALL PINES RD, SCARBOROUGH, ME 04074-9021
(207) 251-4189
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA2220
ME
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
01/29/2007
Last updated
11/12/2024
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