Individual
JARED JOHN DISANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1000 RV TRCE, HOOVER, AL 35244-8000
(205) 739-2069
(205) 803-6630
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH10022
AL
Other
Enumeration date
09/14/2015
Last updated
10/13/2020
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