Individual
RONETH FAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.P.T.
Contact information
Practice address
6445 GERMANTOWN AVE, PHILADELPHIA, PA 19119-2345
(215) 438-5268
Mailing address
139 FULTON ST, SUITE 502, NEW YORK, NY 10038-2594
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
029125
NY
2251G0304X
Geriatric Physical Therapist
Primary
PT020320
PA
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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