Individual
MADISON ELIZABETH FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2525 S WADSWORTH BLVD STE 102, LAKEWOOD, CO 80227-3246
(720) 962-4555
Mailing address
1250 CHEROKEE ST APT 1620, DENVER, CO 80204-3762
(630) 780-0073
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0007541
CO
Other
Enumeration date
08/16/2022
Last updated
08/23/2022
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