Doctor Name: | MS. GINELLE VILA-DULAY FAJARDO |
NPI Number: | 1245338102 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT29347 |
Business Practice Address: | 215 N State College Blvd Suite G Anaheim, CA - 928062932 |
Business Phone Number: | 7149996596 |
Business Fax Number: | 7149995009 |
Mailing Address: | 2311 S Mira Ct Unit 127, ANAHEIM |
State: | CA |
Postal Code: | 928023532 |
Phone Number: | 7149718763 |
Fax Number: | |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 01/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT29347 |
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 |