Karen Fagan, PTA
NPI #1659465318 in So Portland, Maine
Provider Information
- NPI Number
- 1659465318
- Entity Type
- Individual
- Name
- Karen Fagan, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Oct 3, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 260 WESTERN AVE
- City
- So Portland
- State
- Maine
- ZIP Code
- 04106
- Phone
- (207) 879-5710
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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