MRS. Mackenna G Fagan

NPI #1396415857 in Elma, New York

Provider Information

NPI Number
1396415857
Entity Type
Individual
Name
MRS. Mackenna G Fagan
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
Sep 16, 2021
Last Updated
Sep 16, 2021

Practice Location

Address
4362 GRIDER RD
City
Elma
ZIP Code
14059
Phone
(716) 652-3000

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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