Individual
MR. JOSEPH JOHN DISANDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2645 O'NEAL LANE BLDG C, STE D, BATON ROUGE, LA 70816-3179
(225) 751-3696
(225) 751-3697
Mailing address
2645 O'NEAL LANE BLDG C, STE D, BATON ROUGE, LA 70816-3179
(225) 751-3696
(225) 751-3697
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/03/2009
Last updated
06/04/2009
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