Individual
ERIN FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1015 BOWLES AVE, FENTON, MO 63026-2394
(314) 807-3955
Mailing address
59 GEORGETOWN CIR, O FALLON, MO 63368-8549
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2016030249
MO
Other
Enumeration date
05/16/2017
Last updated
05/16/2017
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