Kathleen Fagan, OTR

NPI #1225431232 in Somerville, Massachusetts

Provider Information

NPI Number: 1225431232
Entity Type: Individual
Name: Kathleen Fagan, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Oct 3, 2014
Last Updated: Oct 3, 2014

Practice Location

Address: 54 BAY STATE AVE
City: Somerville
State: Massachusetts
ZIP Code: 02144-2134
Phone: (518) 496-5717

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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