Provider Demographics
NPI:1114263431
Name:FIELDS, ALISON (MSOTR/L)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:FIELDS
Suffix:
Gender:F
Credentials:MSOTR/L
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:
Other - Last Name:DEMOSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSOTR/L
Mailing Address - Street 1:97 HUGHES RD
Mailing Address - Street 2:SUITE H
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758
Mailing Address - Country:US
Mailing Address - Phone:410-421-8920
Mailing Address - Fax:
Practice Address - Street 1:97 HUGHES RD. SUITE H
Practice Address - Street 2:PEDIATRIC THERAPY LINK OF NORTH ALABAMA
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758
Practice Address - Country:US
Practice Address - Phone:256-883-7338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-13
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06830225XP0200X
AL3656225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics