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Jared Fagans
NPI 1376949792 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1361 Route 72 W
Manahawkin, NJ 08050 - Phone
- (201) 213-9133
- Organisation at this address
- 1361 Route 72 West Opco, Llc
1361 Route 72 West Operations Llc
Stafford Convalescent Center, Inc
Genesis Rehab Services Southern Ocean CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 31
Registry record
- Primary taxonomy
- Occupational Therapy Assistant
224Z00000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-11-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey