Regis William Visconti JR., ATC, LAT
NPI #1548517345 in Glenshaw, Pennsylvania
Provider Information
- NPI Number
- 1548517345
- Entity Type
- Individual
- Name
- Regis William Visconti JR., ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, LAT
- Enumeration Date
- Aug 10, 2012
- Last Updated
- Aug 10, 2012
Practice Location
- Address
- 104 FIELDSTONE DR
- City
- Glenshaw
- State
- Pennsylvania
- ZIP Code
- 15116-1306
- Phone
- (412) 527-9753
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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