Individual
BILLIE JO DESANTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 FARMSTEAD LN, STATE COLLEGE, PA 16803-3339
(814) 954-7045
Mailing address
1012 S PUGH ST, APT G-11, STATE COLLEGE, PA 16801-6137
(814) 590-4202
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI003182
PA
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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