Susan Fagan
Susan Fagan is an Occupational Therapist in Wallingford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2010.
- Licensed in
- CT
- In the registry since
- 2010
Practice location Address checks out
22 Masonic AveWallingford, CT 06492-3048
Phone: (203) 679-6247
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 001077 (CT) |
|---|
Record details
| NPI number | 1568781086 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 24, 2010 |
| Last updated in NPPES | May 24, 2010 |
| Mailing address | 22 Masonic Avenue, Wallingford, CT 06492 |
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