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NPI Code Detail

MEDICARE: VIRGINIA FIELDS

MEDICARE: VIRGINIA FIELDS
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
1225200000XPhysical Therapy Assistant03982OH

General Provider Information

NPI Number : 1902928385
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGINIA FIELDS
Provider Business Mailing Address
First Line : 124 N RIBLET ST
Second Line :
City : GALION
State : OH
Zip : 44833-2125
Country : US
Telephone Number : 419-468-4383
Fax Number :
Provider Business Practice Location Address
First Line : 225 W MAIN ST
Second Line :
City : SHELBY
State : OH
Zip : 44875-1412
Country : US
Telephone Number : 419-947-1503
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2007
Last Update Date : 07/08/2007

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Directions to “ VIRGINIA FIELDS ” 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.

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