Individual provider · NPI-1
Valerie Pagan, CFOM ATP, CRTS
Orthotic Fitter · Rutherford, NJ
NPI number1124437975
StatusActive
Last updated in NPPESAug 6, 2014
Details
- NPI
- 1124437975
- Entity type
- Individual (NPI-1)
- Name
- Valerie Pagan
- Credential
- CFOM ATP, CRTS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 6, 2014
- Last updated
- Aug 6, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225000000X | Orthotic Fitter | – | – | Yes |
| 224900000X | Mastectomy Fitter | – | – | |
| 225CA2400X | Rehabilitation Counselor, Assistive Technology Practitioner | – | – |
Practice location
154 Union Ave Apt 23Rutherford, NJ 07070
Phone 201-406-2308 · Fax 201-964-0126
Mailing address
154 Union Ave Apt 23Rutherford, NJ 07070
Phone 201-406-2308 · Fax 201-964-0126
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