Carolyn W Fagan

NPI #1215940994 in Santa Fe, New Mexico

Provider Information

NPI Number
1215940994
Entity Type
Individual
Name
Carolyn W Fagan
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
Aug 14, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2954 RODEO PARK DR W
ZIP Code
87505-6351
Phone
(505) 424-0131

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Physical TherapyPhysical Therapy

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