| Doctor Name: | MR. JOSEPH JAMES CANESTRARI |
| NPI Number: | 1548210354 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.P.T. |
| License Number: | PT5944 |
| Business Practice Address: | 8725 N Wickham Rd Suite 301 Melbourne, FL - 329402239 |
| Business Phone Number: | 3214349200 |
| Business Fax Number: | 3214349202 |
| Mailing Address: | 3466 N Harbor City Blvd, MELBOURNE |
| State: | FL |
| Postal Code: | 329355713 |
| Phone Number: | 3214341981 |
| Fax Number: | 3219517408 |
| NPI Enumeration Date: | 05/11/2006 |
| NPI Last Update Date: | 03/31/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | PT5944 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |