Patricia Marie Fagen, PT

NPI #1710584818 in Fruitland, Idaho

Provider Information

NPI Number: 1710584818
Entity Type: Individual
Name: Patricia Marie Fagen, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 2, 2020
Last Updated: Oct 2, 2020

Practice Location

Address: 2175 N WHITLEY DR
City: Fruitland
State: Idaho
ZIP Code: 83619-2132
Phone: (208) 452-0303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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