Ileana Fajardo, D.P.T. Valid NPI
Individual provider · Specialist · Avenel, NJ
- NPI
- 1194004275
- Type
- Individual (Type 1)
- Primary specialty
- Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 174400000X
- License number
- 40QA01384600 (NJ)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2011-08-08
- Last updated
- 2011-08-08
Practice location
415 Avenel St
Avenel, NJ 07001-1147
(732) 693-6788