Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Analiza Gamboa Fajardo, OTR/L

Individual provider Gerontology Occupational Therapist · NPI 1659514560

Analiza Gamboa Fajardo, OTR/L is a Gerontology Occupational Therapist in Jacksonville, Florida. Works from 2 locations. Licensed in Florida and Illinois.

Licensed in
FL, IL
In the registry since
2009
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11595 Burnt Mill Rd, Jacksonville, FL 32256-3096 — (904) 596-5000

Specialties & licences

Gerontology Occupational Therapist (primary) Taxonomy 225XG0600X · Licence OT22048 (FL)
Gerontology Occupational Therapist Taxonomy 225XG0600X · Licence 056.008331 (IL)

Record details

NPI number1659514560
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedApril 8, 2009
Last updated in NPPESApril 25, 2025
Certification dateApril 25, 2025

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