IndividualActive
Jennifer Upham, PTA
NPI 1124407929 · Geriatric Physical Therapist · Acworth, GA
Provider details
- NPI number
- 1124407929
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- PTA0003392 (GA)
Mailing address
4216 Bridlecreek Dr Nw
Acworth, GA 30101-3872
Registry dates
- Enumerated
- 2015-05-26
- Last updated
- 2015-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.