Individual
MARISA VISOCCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 COLLEGE ST, WORCESTER, MA 01610-2322
(508) 793-2627
Mailing address
1 COLLEGE ST, WORCESTER, MA 01610-2322
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2600
MA
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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