IndividualActive
Mckenzie Fagan
NPI 1942842398 · Blind Rehabilitation Specialist/Technologist · Philadelphia, PA
Provider details
- NPI number
- 1942842398
- Entity type
- Individual
- Primary specialty
- Blind Rehabilitation Specialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 9462063 (PA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
105 Seville St
Philadelphia, PA 19127-1811
Phone: (724) 372-9269
Approximate (ZIP-level) locationGet directions
Mailing address
105 Seville St
Philadelphia, PA 19127-1811
Registry dates
- Enumerated
- 2019-10-16
- Last updated
- 2019-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.