Provider Demographics
NPI:1568472165
Name:DANSSAERT, JOANNE K (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:K
Last Name:DANSSAERT
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
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Other - First Name:
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Mailing Address - Street 1:530 LOMAS SANTA FE DR
Mailing Address - Street 2:SUITE G
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-1349
Mailing Address - Country:US
Mailing Address - Phone:858-755-6024
Mailing Address - Fax:858-755-6024
Practice Address - Street 1:530 LOMAS SANTA FE DR
Practice Address - Street 2:SUITE G
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-1349
Practice Address - Country:US
Practice Address - Phone:858-755-6024
Practice Address - Fax:858-755-6024
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPT13285225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT13285OtherPHYSICAL THERAPIST