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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. PERRY FARDELLA, PT, ATC, CSCS

Active Sole Proprietor

MR. PERRY FARDELLA, PT, ATC, CSCS is a Physical Therapy Assistant healthcare provider located in JACKSONVILLE, Florida. NPI 1265658348 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · JACKSONVILLE, FL

Registration Details

NPI Number
1265658348
Provider Type
Individual
Gender
Male
NPI Issued
Apr 18, 2007 (19.329515767196 yrs)
Last Updated
Jan 25, 2021
License
PT 19490 (FL)
Sole Proprietor
Yes

Practice Information

Address
4500 SAN PABLO RD S
JACKSONVILLE, FL, 322241865
Browse FL providers · Browse ZIP 32224
Phone
9049532000
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in JACKSONVILLE, FL

Name Credential NPI
JOANNA LEIGH MARSHALL PT 1154326536
DONNA LOUISE ZIEGLER PT 1184629560
DAWN NICHELLE ROSADO MPT 1578568952
DEBORAH JANET ROCKETT PT 1174528566
KYLE G CORBIN PT 1437154804
SARAH L KATSARAS PT 1376548776
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.