Individual
BENJAMIN ADAM FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
163 VAN BUREN RD, CARIBOU, ME 04736-3567
(207) 498-1618
Mailing address
40 COOLIDGE AVE, CARIBOU, ME 04736-2436
(207) 493-1516
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1606
ME
Other
Enumeration date
05/12/2009
Last updated
05/13/2009
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