National Provider Identifier
Sue Ann Tupper, PTA
Sue Ann Tupper, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Bath, NY and a listed phone number of (607) 776-8880.
Profile Overview
- NPI
- 1013155860
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- February 02, 2009
- Last Updated
- February 02, 2009
Practice Location
- 7571 State Route 54
- Rehab Services Dept., Ira Davenport Memorial Hospital
- Bath, NY 14810-9504
Phone: (607) 776-8880
Mailing Address
- 114 Floradale RD
- Liverpool, NY 13088-5622
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1013155860
- Entity Type
- Individual
- Last Name
- Tupper
- First Name
- Sue
- Middle Name
- Ann
- Credential
- PTA
- Mailing Street Address
- 114 Floradale RD
- Mailing City
- Liverpool
- Mailing State
- NY
- Mailing ZIP Code
- 13088-5622
- Mailing Country
- US
- Practice Street Address
- 7571 State Route 54
- Practice Address Line 2
- Rehab Services Dept., Ira Davenport Memorial Hospital
- Practice City
- Bath
- Practice State
- NY
- Practice ZIP Code
- 14810-9504
- Practice Country
- US
- Practice Phone
- (607) 776-8880
- Enumeration Date
- February 02, 2009
- Last Updated
- February 02, 2009
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)