Individual
RUTH LYNN FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MOUNT ALLEN DR, MECHANICSBURG, PA 17055-6171
(717) 591-7200
Mailing address
100 MOUNT ALLEN DR, MECHANICSBURG, PA 17055-6171
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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