Individual
CHARLES D DISANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,COMT,CHT
Contact information
Practice address
1 E WILLARD AVE, SUITE B, NORWALK, OH 44857-1155
(419) 660-0876
(419) 660-9104
Mailing address
4517 STATE ROUTE 269 S, CASTALIA, OH 44824-9356
(419) 684-8091
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT07840
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2471507
—
OH
Enumeration date
10/17/2006
Last updated
01/23/2008
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