Doctor Name: | JOANNA MARIE DESANTIS |
NPI Number: | 1225120124 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 0142891 |
Business Practice Address: | 44 Nautilus Dr First Floor Manahawkin, NJ - 080502466 |
Business Phone Number: | 6099781001 |
Business Fax Number: | 6099780914 |
Mailing Address: | 44 Nautilus Dr, First Floor MANAHAWKIN |
State: | NJ |
Postal Code: | 080502466 |
Phone Number: | 6099781001 |
Fax Number: | 6099780914 |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 11/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 0142891 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |