MEDICARE: DONNA GRACE SABARILLO JARDIOLIN P.T

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor	05008893A	IN

General Provider Information

NPI Number	:	1396869483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA GRACE SABARILLO JARDIOLIN P.T

Provider Business Mailing Address
First Line	:	2728 PAINTED DESERT RUN
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46808-3560
Country	:	US
Telephone Number	:	317-403-9603
Fax Number	:

Provider Business Practice Location Address
First Line	:	2728 PAINTED DESERT RUN
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46808-3560
Country	:	US
Telephone Number	:	317-403-9603
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	01/24/2013

Similar Medicare Providers

1780369512 — ANIL REGMI
Practice Location Address:

2307 FLORIDA DR APT C9
FORT WAYNE, IN
46805-3560

Practice Phone: 574-261-2403
Practice Fax:

1861385395 — CARES TO HELP HOME CARE
Practice Location Address:

5303 YORKSHIRE DR
FORT WAYNE, IN
46806-3560

Practice Phone: 260-206-2182
Practice Fax:

1467625517 — MR. RICHARD ANTHONY MAYORA LCSW
Practice Location Address:

915 MIDDLE RIVER DR STE 307
FORT LAUDERDALE, FL
33304-3560

Practice Phone: 954-566-2166
Practice Fax:

1518107846 — BILL BRACKER PSYD PA
Practice Location Address:

915 MIDDLE RIVER DRIVE , SUITE 307
FORT LAUDERDALE, FL
33304-3560

Practice Phone: 954-566-2166
Practice Fax: 954-566-1186

1780817627 — INDIVIDUALIZED PSYCHOLOGICAL RESOURCES, INC.
Practice Location Address:

915 MIDDLE RIVER DR STE 307
FORT LAUDERDALE, FL
33304-3560

Practice Phone: 954-632-7260
Practice Fax:

1316382906 — KRISTIN GARNER FREEMAN M.D.
Practice Location Address:

5450 CLEARFORK MAIN ST STE 460
FORT WORTH, TX
76109-3560

Practice Phone: 817-423-5121
Practice Fax: 817-423-5122

Directions to “ DONNA GRACE SABARILLO JARDIOLIN P.T” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.