Individual
KEFIRA FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10112 S RHODES AVE, CHICAGO, IL 60628-2228
(773) 408-1047
Mailing address
10112 S RHODES AVE, CHICAGO, IL 60628-2228
(773) 408-1047
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.009122
IL
Other
Enumeration date
04/17/2025
Last updated
04/20/2025
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