KAREN FAGAN

SO PORTLAND, ME
NPI1659465318
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ME  pa1914)
Enumeration Date2006-10-03
Last Update Date2007-07-08
Business Address
-- KAREN FAGAN PTA
260 WESTERN AVE
SO PORTLAND, ME 04106
Phone number: 207-879-5710
Mailing Address
-- KAREN FAGAN PTA
260 WESTERN AVE
SO PORTLAND, ME 04106
Phone number: 207-879-5710