Individual
DR. ALLISON ELAINE UPHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
100 ANNA GOODE WAY, SUFFOLK, VA 23434-9236
(757) 623-5500
Mailing address
12720 DAYBREAK CIR, NEWPORT NEWS, VA 23602-9531
(240) 367-4473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
043495
NY
225100000X
Physical Therapist
Primary
2305212670
VA
225100000X
Physical Therapist
24208
MA
225100000X
Physical Therapist
PT013973
GA
225100000X
Physical Therapist
PT027688
PA
Other
Enumeration date
09/10/2018
Last updated
09/15/2020
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