MRS. Melanie Fagan, PTA

NPI #1831568112 in Windermere, Florida

Provider Information

NPI Number: 1831568112
Entity Type: Individual
Name: MRS. Melanie Fagan, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 17, 2015
Last Updated: Sep 17, 2015

Practice Location

Address: 8712 ABBOTSBURY DR
City: Windermere
State: Florida
ZIP Code: 34786-6708
Phone: (423) 987-1172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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