MS. Maryalice Coraccio, B.S.

NPI #1962683649 in Lowell, Massachusetts

Provider Information

NPI Number: 1962683649
Entity Type: Individual
Name: MS. Maryalice Coraccio, B.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Credential: B.S.
Enumeration Date: Nov 21, 2007
Last Updated: Nov 21, 2007

Practice Location

Address: 126 PHOENIX AVE
City: Lowell
State: Massachusetts
ZIP Code: 01852-4931
Phone: (978) 453-8331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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