Camille Fagan
NPI #1164084455 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1164084455
- Entity Type
- Individual
- Name
- Camille Fagan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist - Gerontology
- Enumeration Date
- Jul 8, 2019
- Last Updated
- Oct 1, 2024
Practice Location
- Address
- 11960 WESTLINE INDUSTRIAL DR STE 201
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63146-3209
- Phone
- (866) 433-9555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist - Gerontology — Gerontology |
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