Individual
CARRIE FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
210 CLIFTON SPRINGS PROFESSIONAL PARK, CLIFTON SPRINGS, NY 14432-1041
(315) 462-3588
(315) 462-6590
Mailing address
210 CLIFTON SPRINGS PROFESSIONAL PARK, CLIFTON SPRINGS, NY 14432-1041
(315) 906-0051
(315) 906-0058
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
036489
NY
Other
Enumeration date
08/15/2013
Last updated
05/16/2019
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