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Individual

MS. KAREN MARIE FIELDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
192 DEER RUN, WADING RIVER, NY 11792-1701
(631) 886-1454
Mailing address
192 DEER RUN, WADING RIVER, NY 11792-1701
(631) 886-1454

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001032-1
NY

Other

Enumeration date
09/13/2011
Last updated
09/13/2011
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