Provider Demographics
NPI:1841264116
Name:FIELD, CAROL S (PT)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:S
Last Name:FIELD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 HICKORY HILL CIR
Mailing Address - Street 2:
Mailing Address - City:OSTERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02655-1320
Mailing Address - Country:US
Mailing Address - Phone:508-428-5580
Mailing Address - Fax:
Practice Address - Street 1:225 CRANBERRY HWY
Practice Address - Street 2:
Practice Address - City:ORLEANS
Practice Address - State:MA
Practice Address - Zip Code:02653-3255
Practice Address - Country:US
Practice Address - Phone:508-255-4181
Practice Address - Fax:508-255-0424
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1543225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist