Individual
DEBRA ANN FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
137 N ELK ST, SANDUSKY, MI 48471-1129
(810) 648-3017
Mailing address
137 N ELK ST, SANDUSKY, MI 48471-1129
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
520100500
MI
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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