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Individual

BREANNA FIELDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2520 N ORANGE AVE STE 100, ORLANDO, FL 32804-4638
(407) 303-8280
Mailing address
9423 AZALEA RIDGE WAY, GOTHA, FL 34734-5063

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27740
FL

Other

Enumeration date
10/27/2017
Last updated
10/27/2017
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