Individual
MARISA VISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
285 GOVERNOR ST, PROVIDENCE, RI 02906-3237
(401) 276-0800
Mailing address
5840 CORPORATE WAY STE 101, WEST PALM BEACH, FL 33407-2040
(561) 432-0111
(561) 432-1075
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA02146600
NJ
225100000X
Physical Therapist
Primary
PT04104
RI
225100000X
Physical Therapist
PT39813
FL
Other
Enumeration date
06/28/2023
Last updated
04/29/2026
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