Individual
ELLEN M DISANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
840 HELEN DR, SUITE 200, LEBANON, PA 17042-7456
(717) 270-5465
(717) 270-5689
Mailing address
840 HELEN DR, SUITE 200, LEBANON, PA 17042-7456
(717) 270-5465
(717) 270-5689
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10102
TN
225100000X
Physical Therapist
Primary
PT021380
PA
Other
Enumeration date
08/20/2014
Last updated
09/21/2015
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