NPI 1043809064

Carolynne Fagan

Practitioner Athletic Trainer Milton, VT

Practice location

Address: 32 Stacy St, Milton, VT 05468-4161
Phone: (802) 893-1642

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

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Registry record

NPI: 1043809064
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jan 2021
Record last updated: 14 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.