Individual
DARYL FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
2800 E ROCK HAVEN RD, HARRISONVILLE, MO 64701-4411
(816) 887-0304
Mailing address
2800 E ROCK HAVEN RD, HARRISONVILLE, MO 64701-4411
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
MO
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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