Sue Ann Tupper, PTA

NPI #1013155860 in Bath, New York

Provider Information

NPI Number: 1013155860
Entity Type: Individual
Name: Sue Ann Tupper, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Feb 2, 2009
Last Updated: Feb 2, 2009

Practice Location

Address: 7571 STATE ROUTE 54
Address 2: REHAB SERVICES DEPT., IRA DAVENPORT MEMORIAL HOSPITAL
City: Bath
State: New York
ZIP Code: 14810-9504
Phone: (607) 776-8880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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