| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SAMANTHA UPTON | 1447965496 | 2023-01-13 |
Samantha Upton is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1447965496. Registration indicates Samantha Upton is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapy Assistant (Physical Therapy Assistant, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Samantha Upton PTA |
| Practice Office Address | 38656 MEDICAL CENTER DR PALMDALE, CA US |
| Practice Office Telephone | 6619479977 |
| Practice Office Fax | 6619479988 |
| Mailing Address | 25115 AVENUE STANFORD STE B135 VALENCIA, CA 913551290 US |
| Business Telephone | 6612509940 |
| Business Fax | 6612509959 |
| Code | Practice | License No State |
|---|---|---|
| 225200000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapy Assistant Physical Therapy Assistant Speech/Occupational/Physical Therapy/Chiropractor Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 52087
CA |