Individual
MISS RICKESSA LEIGH FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
941 SOUTH AVE, ROCHESTER, NY 14620-2746
(585) 473-2858
Mailing address
76 HINSDALE ST, ROCHESTER, NY 14620-1666
(585) 355-1180
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
024083
NY
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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