Individual
CHELSEA LARISSA VISCONTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 EAGLE ROCK AVE STE 201, EAST HANOVER, NJ 07936-3167
(973) 887-9000
(973) 887-3816
Mailing address
11 EAGLE ROCK AVE STE 201, EAST HANOVER, NJ 07936-3167
(973) 887-9000
(973) 887-3816
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
46TR00792500
NJ
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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