Individual
MRS. NANCY ANNE VISCO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
14 JONES HOLLOW RD, SUITE 7, MARLBOROUGH, CT 06447-1448
(860) 295-8188
(860) 295-8976
Mailing address
78 SANER RD, MARLBOROUGH, CT 06447-1409
(860) 295-1393
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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