BRENDA ANN FAGAN

SAN FRANCISCO, CA
NPI1336351204
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  OT6824)
Enumeration Date2007-05-04
Last Update Date2007-07-08
Business Address
-- BRENDA ANN FAGAN OTR
302 SILVER AVE
SAN FRANCISCO, CA 94112-1510
Phone number: 415-469-2239
Mailing Address
-- BRENDA ANN FAGAN OTR
1312 JOSEPHINE ST APT 5
BERKELEY, CA 94703-1140
Phone number: