Individual
TAMMY FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 NEVILLE DR, LOUISVILLE, KY 40216-3820
(520) 227-9683
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(520) 227-9683
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
296169
KY
225X00000X
Occupational Therapist
31008552A
IN
Other
Enumeration date
11/23/2024
Last updated
11/23/2024
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