NPI 1114153251
Joseph John Disandro, PTA
Practice location
- Address
- 2645 O'Neal Lane Bldg C, STE D, Baton Rouge, LA 70816-3179
- Phone
- (225) 751-3696
- Fax
- (225) 751-3697
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1114153251
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 Jun 2009
- Record last updated
- 4 Jun 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.