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Organization
NEUROFIT, LLC
Active
Organization
NEUROFIT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA VISCUSO DPT (PHYSICAL THERAPIST)
(410) 967-4865
Entity
Organization
Contact information
Practice address
13 COOPERSTOWN CT, PHOENIX, MD 21131-1328
(410) 967-4865
Mailing address
13 COOPERSTOWN CT, PHOENIX, MD 21131-1328
(410) 967-4865
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17696
PHYSICAL THERAPY LICENSE NUMBER
MD
Enumeration date
11/14/2023
Last updated
11/14/2023
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