MS. Karen Marie Fields, PTA

NPI #1477835775 in Wading River, New York

Provider Information

NPI Number: 1477835775
Entity Type: Individual
Name: MS. Karen Marie Fields, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 13, 2011
Last Updated: Sep 13, 2011

Practice Location

Address: 192 DEER RUN
City: Wading River
State: New York
ZIP Code: 11792-1701
Phone: (631) 886-1454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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