Madison Elizabeth Fagan, OTR/L

NPI #1154049252 in Lakewood, Colorado

Provider Information

NPI Number: 1154049252
Entity Type: Individual
Name: Madison Elizabeth Fagan, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Aug 16, 2022
Last Updated: Aug 23, 2022

Practice Location

Address: 2525 S WADSWORTH BLVD STE 102
City: Lakewood
State: Colorado
ZIP Code: 80227-3246
Phone: (720) 962-4555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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