Carmelita Upshaw

NPI 1558695130 - Physical Therapist - 225100000X

NPI Details
NPI 1558695130
Gender Female
Enumeration Date 09/29/2009
Last Updated 09/29/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
CORNER OF ROUTE N12/N7
FORT DEFIANCE AZ, 86504-0649, US
Phone (928) 729-3776
Fax
Business Location
PO BOX 649
FORT DEFIANCE AZ, 86504-0649, US
Phone (928) 729-3776
Fax
Toxanomy
Taxonomy Code 225100000X
License State Arizona
License Number 8458
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According to our database, Carmelita Upshaw NPI is 1558695130, taxonomy code is 225100000X and license number is 8458, license state is located at Arizona. Carmelita Upshaw physically located at Corner Of Route N12/n7, Fort Defiance AZ, 86504-0649. NPI Number Carmelita Upshaw has the Individual type.

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1558695130 NPI number is provided on an as is basis without warranty of any kind. 1558695130 is maintained by the National Plan & Provider Enumeration System. The contents of Carmelita Upshaw are for informational purposes only.