Tanesha Michelle Upton, PTA

NPI #1023176955 in Fort Pierce, Florida

Provider Information

NPI Number: 1023176955
Entity Type: Individual
Name: Tanesha Michelle Upton, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Dec 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2519 S US HIGHWAY 1
City: Fort Pierce
State: Florida
ZIP Code: 34982-5922
Phone: (772) 460-8386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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