Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAREN FAGAN, PTA
Active Sole ProprietorKAREN FAGAN, PTA is a Occupational Therapist healthcare provider located in SO PORTLAND, Maine. NPI 1659465318 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · SO PORTLAND, ME
Registration Details
- NPI Number
- 1659465318
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 3, 2006 (19.835367078289 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PA1914 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
260 WESTERN AVESO PORTLAND, ME, 04106Browse ME providers · Browse ZIP 04106
- Phone
- 2078795710
- Primary Specialty
-
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.