Carolyn W Fagan
Carolyn W Fagan is a Physical Therapy Clinic/Center in Santa Fe, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.
- Licensed in
- NM
- In the registry since
- 2006
Practice location Address checks out
2954 Rodeo Park Dr WSanta Fe, NM 87505-6351
Phone: (505) 424-0131
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Specialties & licences
| Physical Therapy Clinic/Center (primary) | Taxonomy 261QP2000X · Licence #456 (NM) |
|---|
Record details
| NPI number | 1215940994 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 14, 2006 |
| Last updated in NPPES | July 8, 2007 |
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