Organization Name: | JM FAGAN LLC |
NPI Number: | 1164751475 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEANNE MARIE FAGAN (OWNER) |
Mailing Address: | 5285 S Perry Ct Littleton |
State: | CO US |
Postal Code: | 801231720 |
Phone Number: | 3038292404 |
Fax Number: | |
NPI Enumeration Date: | 12/15/2009 |
NPI Last Update Date: | 12/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4073 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |