Individual
MS. SIOBHAN E FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., AT, ATC, CSCS
Contact information
Practice address
5911 IVY RIDGE RD, DAYTON, OH 45431-2913
(937) 602-0580
Mailing address
5911 IVY RIDGE RD, DAYTON, OH 45431-2913
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.002301
OH
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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