DR. Ileana Fajardo, D.P.T.
NPI #1194004275 in Avenel, New Jersey
Provider Information
- NPI Number
- 1194004275
- Entity Type
- Individual
- Name
- DR. Ileana Fajardo, D.P.T.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- D.P.T.
- Enumeration Date
- Aug 8, 2011
- Last Updated
- Aug 8, 2011
Practice Location
- Address
- 415 AVENEL ST
- City
- Avenel
- State
- New Jersey
- ZIP Code
- 07001-1147
- Phone
- (732) 693-6788
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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