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Jennifer Upham, PTA
NPI 1124407929 · on the registry since 2015 · sole proprietor
Practice
- Address
- 4216 Bridlecreek Dr Nw
Acworth, GA 30101 - Phone
- (404) 429-4012
Registry record
- Primary taxonomy
- 2251G0304X
2251G0304X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-05-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia