Individual
TERESA KAY UPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3112 O ST STE 14, SACRAMENTO, CA 95816-6534
(916) 549-8219
Mailing address
4510 65TH ST, SACRAMENTO, CA 95820-3326
(916) 549-8219
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
—
—
Other
Enumeration date
10/25/2007
Last updated
04/25/2018
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