Uppvall, Sandra J
Uppvall, Sandra J is an sole proprietor health care provider with primary practice located at 111 Kay St , Ithaca NY 14850. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Uppvall, Sandra J can be contacted via phone (607) 257-2743.Contact Information
Primary practice address
111 Kay St
Ithaca NY 14850
Phone: (607) 257-2743
Fax: (607) 257-5809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 012344 | New York |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 3882 | Massachusetts |
Profile Details
| NPI number | 1902872609 |
|---|---|
| LBN Legal business name | Uppvall, Sandra J |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | May 7th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902872609 | NPPES |
| New York | Other | BA0435 | PTAN |
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