Individual
GABRIELLE FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-4414
Mailing address
5508 LOYOLA DR, PARMA, OH 44129-5246
(330) 720-0628
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
014420
OH
Other
Enumeration date
10/24/2016
Last updated
10/28/2016
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