SearchMaine225200000X

Karen Fagan, PTA

NPI 1659465318 · on the registry since 2006 · sole proprietor

Practice

Address
260 Western Ave
So Portland, ME 04106
Phone
(207) 879-5710

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
ME
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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 Maine