Provider Demographics
NPI:1689871592
Name:FIELD, ANITA MARY (MS, BS, RPT)
Entity Type:Individual
Prefix:MS
First Name:ANITA
Middle Name:MARY
Last Name:FIELD
Suffix:
Gender:F
Credentials:MS, BS, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 DRY RIVER CT
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CT
Mailing Address - Zip Code:06896-2333
Mailing Address - Country:US
Mailing Address - Phone:203-938-0874
Mailing Address - Fax:
Practice Address - Street 1:345 BELDEN HILL RD
Practice Address - Street 2:LOURDES HEALTH CARE CENTER
Practice Address - City:WILTON
Practice Address - State:CT
Practice Address - Zip Code:06897-3800
Practice Address - Country:US
Practice Address - Phone:203-762-3318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001524225100000X
NJ40QA00343400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist