Individual
MARLY WOOD FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
340 SUNSET CIR, FORSYTH, GA 31029-1669
(770) 778-9379
Mailing address
340 SUNSET CIR, FORSYTH, GA 31029-1669
(770) 778-9379
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT003726
GA
Other
Enumeration date
11/30/2006
Last updated
04/29/2022
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