Individual provider · Type 1 NPI

Brenda Ann Fagan, OTR

Occupational Therapist · San Francisco, CA

NPI number 1336351204 Active

Practice location

302 Silver Ave
San Francisco, CA 94112-1510

Mailing address

1312 Josephine St, Apt 5
Berkeley, CA 94703-1140

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT6824 (CA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1336351204

Brenda Ann Fagan, OTR's National Provider Identifier is 1336351204, issued on May 4, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in San Francisco, CA. The record was last updated on Jul 8, 2007.