Doctor Name: | DANILO PHILIP FAJARDO |
NPI Number: | 1083048805 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPT |
License Number: | PT18713 |
Business Practice Address: | 1600 California Drive Vacaville, CA - 956962000 |
Business Phone Number: | 7074486841 |
Business Fax Number: | |
Mailing Address: | 5023 Staghorn Dr, VALLEJO |
State: | CA |
Postal Code: | 945918581 |
Phone Number: | 7073342684 |
Fax Number: | |
NPI Enumeration Date: | 08/28/2013 |
NPI Last Update Date: | 08/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT18713 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |