Individual
MS. KATHLEEN ELAINE FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 DOUGLAS ST, PETALUMA, CA 94952-2503
(707) 763-6887
Mailing address
696 DRACO DR, PETALUMA, CA 94954-6605
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8737
CA
Other
Enumeration date
07/10/2006
Last updated
07/07/2021
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