Jared Fagans
NPI #1376949792 in Manahawkin, New Jersey
Provider Information
- NPI Number
- 1376949792
- Entity Type
- Individual
- Name
- Jared Fagans
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Nov 12, 2014
- Last Updated
- Nov 12, 2014
Practice Location
- Address
- 1361 ROUTE 72 W
- City
- Manahawkin
- State
- New Jersey
- ZIP Code
- 08050-2417
- Phone
- (201) 213-9133
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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