Phedra Fields Valid NPI

Individual provider · Occupational Therapist · Tyrone, GA

NPI

1467808246

Type

Individual (Type 1)

Primary specialty

Occupational Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225X00000X

License number

OT005981 (GA)

Sex

Female

Sole proprietor

Yes

Enumerated

2016-05-10

Last updated

2025-12-30