Justin Desandre

NPI #1003392903 in Acworth, Georgia

Provider Information

NPI Number: 1003392903
Entity Type: Individual
Name: Justin Desandre
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jul 13, 2018
Last Updated: Jul 13, 2018

Practice Location

Address: 4900 IVEY RD NW STE 1001
City: Acworth
State: Georgia
ZIP Code: 30101-4106
Phone: (770) 917-0924

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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