Provider Demographics
NPI:1801077821
Name:DESSOYE, WILLIAM FRANCIS III (MSPT)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:FRANCIS
Last Name:DESSOYE
Suffix:III
Gender:M
Credentials:MSPT
Other - Prefix:
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Mailing Address - Street 1:50 MOISEY DR
Mailing Address - Street 2:
Mailing Address - City:HAZLETON
Mailing Address - State:PA
Mailing Address - Zip Code:18202-9297
Mailing Address - Country:US
Mailing Address - Phone:570-501-6767
Mailing Address - Fax:570-501-6769
Practice Address - Street 1:50 MOISEY DR
Practice Address - Street 2:
Practice Address - City:HAZLETON
Practice Address - State:PA
Practice Address - Zip Code:18202-9297
Practice Address - Country:US
Practice Address - Phone:570-501-6767
Practice Address - Fax:570-501-6769
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPT015702225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist