| Doctor Name: | SANDRA J UPPVALL |
| NPI Number: | 1902872609 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 3882 |
| Business Practice Address: | 111 Kay St Ithaca, NY - 14850 |
| Business Phone Number: | 6072572743 |
| Business Fax Number: | 6072575809 |
| Mailing Address: | 111 Kay St, ITHACA |
| State: | NY |
| Postal Code: | 148501703 |
| Phone Number: | 6072572743 |
| Fax Number: | 6072575809 |
| NPI Enumeration Date: | 02/23/2006 |
| NPI Last Update Date: | 02/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 3882 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |