Individual
DR. ELIXIR JON GABRIEL PELEGRIN FAJARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, RAC-CT
Contact information
Practice address
3 WASHINGTON CIR, SOUTHBURY, CT 06488-3020
(347) 633-7630
Mailing address
3 WASHINGTON CIR, SOUTHBURY, CT 06488-3020
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
09/19/2022
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