NPI 1225151970

Daryl Fagan

Practitioner Physical Therapy Assistant Dalton, GA

Practice location

Address: 1225 Broadrick Dr, Dalton, GA 30720-2504
Phone: (706) 272-6199
Mailing address: 45 Boxer Ln, Rock Spring, GA 30739-8016

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA 001546 (GA)

Other Physical Therapy Assistant providers in Georgia →

Registry record

NPI: 1225151970
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Apr 2007
Record last updated: 8 Jul 2007

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.