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Individual
WILLIAM FIELDS
Active
Individual
WILLIAM FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT11822
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT11822
STATE LICENSE
CA
Enumeration date
07/27/2006
Last updated
02/25/2008
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