Individual
KERRY A. FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
16 HAYDEN AVE, LAHEY LEXINGTON, LEXINGTON, MA 02421-7929
(781) 372-7060
(781) 372-7069
Mailing address
16 HAYDEN AVE, LAHEY LEXINGTON, LEXINGTON, MA 02421-7929
(781) 372-7060
(781) 372-7069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16664
MA
Other
Enumeration date
05/24/2007
Last updated
02/24/2014
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