Individual
ANALIZA GAMBOA FAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
414 OAKLAWN CT, SAINT AUGUSTINE, FL 32092-3591
(205) 572-0658
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
056.008331
IL
225XG0600X
Gerontology Occupational Therapist
Primary
OT22048
FL
Other
Enumeration date
04/08/2009
Last updated
04/25/2025
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