Individual
DR. LEONARD R DISLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
246 INDUSTRIAL WAY W, EATONTOWN, NJ 07724-4240
(732) 455-2724
Mailing address
246 INDUSTRIAL WAY W, EATONTOWN, NJ 07724-4240
(732) 455-2724
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01349800
NJ
Other
Enumeration date
10/20/2011
Last updated
09/18/2018
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