Individual
AMY MOROCCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT,MS, ATC, PES
Contact information
Practice address
30 GREAT RD, SPORTS & PHYSICAL THERAPY ASSOCIATES, ACTON, MA 01720-5684
(978) 287-6170
(978) 287-1476
Mailing address
30 GREAT RD, ACTON, MA 01720-5684
(978) 287-6170
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
009116
CT
225100000X
Physical Therapist
Primary
19928
MA
2255A2300X
Athletic Trainer
104-0000127
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19928
LICENSE
MA
Enumeration date
02/19/2007
Last updated
07/26/2012
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