National Provider Identifier
Sandra J Uppvall, PT
Sandra J Uppvall, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Ithaca, NY and a listed phone number of (607) 257-2743.
Profile Overview
- NPI
- 1902872609
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- February 23, 2006
- Last Updated
- May 07, 2017
Practice Location
- 111 Kay St
- Ithaca, NY 14850
Phone: (607) 257-2743
Mailing Address
- 111 Kay St
- Ithaca, NY 14850-1703
Specialties
- Physical Therapist (225100000X)
- Physical Therapist (225100000X)
Full Record
- NPI
- 1902872609
- Entity Type
- Individual
- Last Name
- Uppvall
- First Name
- Sandra
- Middle Name
- J
- Credential
- PT
- Provider Other Last Name
- Uppvall Lucier
- Provider Other First Name
- Sandra
- Provider Other Middle Name
- J
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 111 Kay St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1703
- Mailing Country
- US
- Mailing Phone
- (607) 257-2743
- Mailing Fax
- (607) 257-5809
- Practice Street Address
- 111 Kay St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850
- Practice Country
- US
- Practice Phone
- (607) 257-2743
- Practice Fax
- (607) 257-5809
- Enumeration Date
- February 23, 2006
- Last Updated
- May 07, 2017
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X), Physical Therapist (225100000X)
- Other Identifiers
- BA0435 (NY, Ptan)