Individual
ALLISSA FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3109 TALISMAN RD, LOUISVILLE, KY 40220-1815
(502) 724-9250
Mailing address
3109 TALISMAN RD, LOUISVILLE, KY 40220-1815
(502) 724-9250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
BOTOCT00217062
KY
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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