# MARISA VISCO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1659058121
- **Gender:** F
- **Credential:** DPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 40QA02146600 | NJ | — |
| 225100000X | Physical Therapist | PT04104 | RI | Yes |
| 225100000X | Physical Therapist | PT39813 | FL | — |

## Other

- **Enumeration date:** 06/28/2023
- **Last updated:** 04/29/2026