Individual
REVA MAE FIELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 W DUNBAR CAVE RD, CLARKSVILLE, TN 37040-6037
(931) 538-4820
Mailing address
121 W DUNBAR CAVE RD, CLARKSVILLE, TN 37040-6037
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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