MRS. Lisa Ann Viscuso, PHYSICAL THERAPIST

NPI #1508490301 in Phoenix, Maryland

Provider Information

NPI Number: 1508490301
Entity Type: Individual
Name: MRS. Lisa Ann Viscuso, PHYSICAL THERAPIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PHYSICAL THERAPIST
Enumeration Date: Mar 2, 2020
Last Updated: Mar 2, 2020

Practice Location

Address: 13 COOPERSTOWN CT
City: Phoenix
State: Maryland
ZIP Code: 21131-1328
Phone: (410) 967-4865

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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