Individual
ANNETTE L FIELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
706 COAL BANK HOLLOW RD, BLACKSBURG, VA 24060-8622
(540) 553-6695
Mailing address
706 COAL BANK HOLLOW RD, BLACKSBURG, VA 24060-8622
(540) 553-6695
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119002158
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128185
MAMSI
VA
01
—
2450084
UNITED HEALTHCARE OF MID
VA
Enumeration date
09/27/2007
Last updated
08/28/2012
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