Individual
AUDREY MARIE FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, MOT, OTR/L
Contact information
Practice address
21393 BRAMBLE DR, FRANKFORT, IL 60423-9463
(815) 922-1804
Mailing address
21393 BRAMBLE DR, FRANKFORT, IL 60423-9463
(815) 922-1804
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056009727
IL
Other
Enumeration date
06/01/2013
Last updated
06/01/2013
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