MEDICARE: TATSIANA FIELDS OT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	OA3191	ME

General Provider Information

NPI Number	:	1104371772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TATSIANA FIELDS OT

Provider Business Mailing Address
First Line	:	158 OLD COUNTY RD
Second Line	:
City	:	ETNA
State	:	ME
Zip	:	04434-3814
Country	:	US
Telephone Number	:	207-631-5152
Fax Number	:

Provider Business Practice Location Address
First Line	:	158 OLD COUNTY RD
Second Line	:
City	:	ETNA
State	:	ME
Zip	:	04434-3814
Country	:	US
Telephone Number	:	207-631-5152
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2016
Last Update Date	:	08/23/2016

Similar Medicare Providers

1669531828 — KELLEY JEAN GROVER LCSW
Practice Location Address:

540 OLD COUNTY RD
ETNA, ME
04434-3818

Practice Phone: 207-577-1646
Practice Fax:

1548587819 — MR. JOHN FREEMAN MERRILL L.D
Practice Location Address:

1075 STAGE RD
ETNA, ME
04434

Practice Phone: 207-269-4570
Practice Fax:

1073869723 — SUSAN VIRGINIA HOFFMAN
Practice Location Address:

132 STATION RD
ETNA, ME
04434

Practice Phone: 207-269-2816
Practice Fax: 207-269-2816

1376010629 — NEW ENGLAND ADAPTIVE EQUIPMENT
Practice Location Address:

132 STATION RD
ETNA, ME
04434-3034

Practice Phone: 207-269-2816
Practice Fax: 207-269-2816

1548476419 — MRS. BONNY LU DODSON LCSW
Practice Location Address:

40 SUMMER ST
BANGOR, ME
04401-6446

Practice Phone: 207-947-0366
Practice Fax: 207-990-3896

1477755395 — ROSA SYLVIA LIVONIUS OT
Practice Location Address:

700 MOUNT HOPE AVE STE 320
BANGOR, ME
04401-5680

Practice Phone: 207-941-2952
Practice Fax: 207-941-2955

Directions to “ TATSIANA FIELDS OT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.