Individual
NENA FAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10018 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-8135
Mailing address
1120 KONERT VALLEY DR, FENTON, MO 63026-7172
(314) 525-8135
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2009020178
MO
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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