| NPI | 1902872609 |
|---|---|
| Former Name | SANDRA J UPPVALL LUCIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 012344) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 3882) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2017-05-07 |