Individual
CZARINA L GUPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6250 COMMERCIAL ST SE, SALEM, OR 97306-1333
(503) 485-1666
(503) 581-6867
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09198
OR
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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