Paul Fagerstrom, PT

NPI #1558572735 in Perkasie, Pennsylvania

Provider Information

NPI Number: 1558572735
Entity Type: Individual
Name: Paul Fagerstrom, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: May 27, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1403 SHIRLEY LN
City: Perkasie
State: Pennsylvania
ZIP Code: 18944-2868
Phone: (215) 453-0615

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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