Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 13279PT | AZ |
Y | 225100000X | Physical Therapist | 4051 | NE |
NPI | 1003317769 |
---|---|
Provider Name | Allison Chae Field |
First Address | Lincoln, NE 68506-2150 |
Second Address | Omaha, NE 68118-2244 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2018 |
Last Update Date | 14/07/2020 |