Individual
VIRGINIA FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 W MAIN ST, SHELBY, OH 44875-1412
(419) 947-1503
Mailing address
124 N RIBLET ST, GALION, OH 44833-2125
(419) 468-4383
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
03982
OH
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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