Individual provider · Type 1 NPI

Carolyn W. Fagan

Physical Therapy Clinic/Center · Santa Fe, NM

NPI number 1215940994 Active

Practice location

2954 Rodeo Park Dr W
Santa Fe, NM 87505-6351

Mailing address

8 Clematis Cir
Santa Fe, NM 87506-1292

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Clinic/Center Primary 261QP2000X#456 (NM)

Physical Therapy Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care p…

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About NPI 1215940994

Carolyn W. Fagan's National Provider Identifier is 1215940994, issued on Aug 14, 2006. The primary taxonomy on file is Physical Therapy Clinic/Center (261QP2000X), and the practice location is in Santa Fe, NM. The record was last updated on Jul 8, 2007.