Kimberly Fagan
Occupational Therapy Assistant
106 E Jackson St
Harlingen
, Texas 78550-6846
Kimberly Fagan
Occupational Therapy Assistant
106 E Jackson St
Harlingen
, Texas 78550-6846
(210) 393-3411
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Kimberly Fagan
- 2518 Jeff St
- Harlingen, TX
- Zip : 78550-3313
- Phone : (210) 393-3411
Second Address
- Kimberly Fagan
- 106 E Jackson St
- Harlingen, TX
- Zip : 78550-6846
- Phone : (956) 425-3338
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 209760 | TX |
National Provider Identifier
| NPI | 1013187509 |
|---|---|
| Provider Name | Kimberly Fagan |
| First Address | Harlingen, TX 78550-3313 |
| Second Address | Harlingen, TX 78550-6846 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/03/2008 |
| Last Update Date | 23/12/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.