Karen Marie Fields, PTA
Physical Therapy Assistant in Wading River, NY. Individual provider (NPI-1).
NPI number1477835775
StatusActive
Last updated in NPPESSep 13, 2011
Details
- NPI
- 1477835775
- Entity type
- Individual (NPI-1)
- Name
- Ms. Karen Marie Fields
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 13, 2011
- Last updated
- Sep 13, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 001032-1 | NY | Yes |
Practice location
192 Deer RunWading River, NY 11792-1701
Phone 631-886-1454
Mailing address
192 Deer RunWading River, NY 11792-1701
Phone 631-886-1454
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