Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN DESANDRE
ActiveJUSTIN DESANDRE is a Physical Therapy Assistant healthcare provider located in ACWORTH, Georgia. NPI 1003392903 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · ACWORTH, GA
Registration Details
- NPI Number
- 1003392903
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2018 (8.0880533875388 yrs)
- Last Updated
- Jul 13, 2018
Practice Information
- Address
-
4900 IVEY RD NW STE 1001ACWORTH, GA, 301014106Browse GA providers · Browse ZIP 30101
- Phone
- 7709170924
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in ACWORTH, GA
| Name | Credential | NPI |
|---|---|---|
| DR. DALE MICHAEL YAKE | PT, DPT | 1174573950 |
| BENJAMIN TIMOTHY MCAULEY | MSPT | 1609813021 |
| SCOTT ALLAN LEE | MPT | 1710920046 |
| TYE MARR | PT | 1689605958 |
| JENNIFER ST JOSEPH | MSPT | 1912932443 |
| DR. SAMUEL ARTHUR MIELCARSKI | PT | 1982620472 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.