Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Mackenna G Fagan

Individual provider Occupational Therapy Assistant · NPI 1396415857

Mrs. Mackenna G Fagan is an Occupational Therapy Assistant in Elma, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
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Practice location Address checks out

4362 Grider Rd
Elma, NY 14059
Phone: (716) 652-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 008973 (NY)

Record details

NPI number1396415857
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 16, 2021
Last updated in NPPESSeptember 16, 2021
Certification dateSeptember 8, 2021

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