Individual provider · Type 1 NPI

Ada Fajardo Dominguez, PT

Pediatric Physical Therapist · Los Angeles, CA

NPI number 1649482589 Active

Practice location

1200 N State St
Los Angeles, CA 90033

Call (323) 226-3765 Map

Fax (323) 226-2688

Mailing address

15510 Rojas St
Hacienda Heights, CA 91745

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X12757 (CA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1649482589

Ada Fajardo Dominguez, PT's National Provider Identifier is 1649482589, issued on May 4, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.