Individual
ROY FIELDS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4238 JAMES MADISON HIGHWAY, FORK UNION, VA 24522
(434) 842-2916
Mailing address
4238 JAMES MADISON HIGHWAY, FORK UNION, VA 24522
(434) 842-2916
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604037
VA
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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