Individual
DAVID VISCOMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
314 FRANKLIN AVE, SUITE 501, BERLIN, MD 21811-1215
(410) 641-0999
(410) 641-9576
Mailing address
314 FRANKLIN AVE, SUITE 501, BERLIN, MD 21811-1215
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1909
MD
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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