Individual
ANGELITA UPCHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
176 W UNIVERSITY PKWY STE E-F, JACKSON, TN 38305-1618
(731) 300-4950
Mailing address
176 W UNIVERSITY PKWY STE E-F, JACKSON, TN 38305-1618
(731) 300-4950
(731) 300-4951
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5131
TN
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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