Organization
ELIZABETH L. UPTON, MSPT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH LAWLER TYNAN PT (PHYSICAL THERAPIST)
(203) 218-6988
Entity
Organization
Contact information
Practice address
303 LINWOOD AVE, UNIT 1C, FAIRFIELD, CT 06824-4900
(203) 218-6988
(203) 459-4249
Mailing address
303 LINWOOD AVE, UNIT 1C, FAIRFIELD, CT 06824-4900
(203) 218-6988
(203) 459-4249
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
007056
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316015928
NPI
CT
01
—
1750585386
GROUP NPI
CT
01
—
C03714
GROUP PIN
CT
Enumeration date
06/14/2007
Last updated
04/16/2013
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