THOMAS FAGAN

SANTA FE, NM
NPI1598878431
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: NM  #430)
Enumeration Date2006-08-16
Last Update Date2011-06-07
Business Address
-- THOMAS FAGAN PT
2954 RODEO PARK DR W
SANTA FE, NM 87505-6351
Phone number: 505-424-0131
Mailing Address
-- THOMAS FAGAN PT
PO BOX 6100
SANTA FE, NM 87502-6100
Phone number: 505-424-0134
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