JENNIFER ANNE UPHAM

ACWORTH, GA
NPI1124407929
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2251G0304X Physical Therapist, Geriatrics
(Licence: GA  PTA0003392)
Enumeration Date2015-05-26
Last Update Date2015-05-26
Business Address
-- JENNIFER ANNE UPHAM PTA
4216 BRIDLECREEK DR NW
ACWORTH, GA 30101-3872
Phone number: 404-429-4012
Mailing Address
-- JENNIFER ANNE UPHAM PTA
4216 BRIDLECREEK DR NW
ACWORTH, GA 30101-3872
Phone number: 404-429-4012