Individual
TATSIANA FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
158 OLD COUNTY RD, ETNA, ME 04434-3814
(207) 631-5152
Mailing address
158 OLD COUNTY RD, ETNA, ME 04434-3814
(207) 631-5152
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OA3191
ME
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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