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

DR. ELIXIR JON GABRIEL PELEGRIN FAJARDO, PT, DPT, RAC-CT

Active Sole Proprietor

DR. ELIXIR JON GABRIEL PELEGRIN FAJARDO, PT, DPT, RAC-CT is a Physical Therapy Assistant healthcare provider located in SOUTHBURY, Connecticut. NPI 1518503978 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SOUTHBURY, CT

Registration Details

NPI Number
1518503978
Provider Type
Individual
Gender
Male
NPI Issued
Nov 20, 2019 (6.7453559104611 yrs)
Last Updated
Sep 19, 2022
Sole Proprietor
Yes

Practice Information

Address
3 WASHINGTON CIR
SOUTHBURY, CT, 064883020
Browse CT providers · Browse ZIP 06488
Phone
3476337630
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in SOUTHBURY, CT

Name Credential NPI
MICHELLE E BEIGHAU PT 1881693943
MRS. MICHELLE CACACE PT 1942297700
MRS. DEBRA J MOLSICK PT 1306817879
BRIAN V ELSEMORE PT 1023074309
MRS. MELINDA MARIE MANGANELLO PT, DPT 1912950346
KERRI A MCQUILLAN PT 1740229715
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.