IndividualActive
Analiza Fajardo, OTR/L
NPI 1659514560 · Gerontology Occupational Therapist · Jacksonville, FL
Provider details
- NPI number
- 1659514560
- Entity type
- Individual
- Primary specialty
- Gerontology Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 056.008331 (IL)
Practice location
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
Mailing address
414 Oaklawn Ct
Saint Augustine, FL 32092-3591
Registry dates
- Enumerated
- 2009-04-08
- Last updated
- 2025-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.