Individual
ANTONIA FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3215 NORTH CALIFORNIA STREET, SUITE 4, STOCKTON, CA 95204-3433
(209) 464-6016
Mailing address
PO BOX 9285, STOCKTON, CA 95208-1285
(209) 513-1091
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT 10206
CA
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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