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Individual

DARYL FAJARDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7819 WAYNETOWNE BLVD, HUBER HEIGHTS, OH 45424-2063
(937) 938-1583
Mailing address
16331 FAIRFIELD LN, GRANGER, IN 46530-9572
(269) 815-2419

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05014807A
IN
225100000X
Physical Therapist
Primary
CP025952T
OH
225100000X
Physical Therapist
CP032188T
VA

Other

Enumeration date
11/06/2023
Last updated
06/24/2024
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