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Individual

MRS. DARIAN MARIE FAGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. OTR/L

Contact information

Practice address
33 ABERDEEN RD, APT 336B, MATAWAN, NJ 07747-1165
(908) 451-9778
Mailing address
33 ABERDEEN RD, APT 336B, MATAWAN, NJ 07747-1165

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00714600
NJ

Other

Enumeration date
03/15/2017
Last updated
03/15/2017
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