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Domenic Visocchi, MSPT
Orthopedic Physical Therapist in Medford, Massachusetts
NPI 1639183445

Domenic Visocchi is a Orthopedic Physical Therapist based in Medford, MA and is specialized in Orthopedic. Domenic Visocchi practices in Medford, MA and has the professional credentials of MSPT. The NPI Number for Domenic Visocchi is 1639183445 and holds a License No. 15414 (Massachusetts).

The current practice location address for Domenic Visocchi is 5 High St, Medford, MA and can be reached out via phone at 781-395-7333 and via fax at 781-395-7331. You can also correspond with Domenic Visocchi through the mailing address at 5 HIGH ST, MEDFORD, MA - 02155-3860 (mailing address contact number: 781-395-7333).

Location: 5 High St, Medford, MA, 02155-3860
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639183445
Provider Name
Domenic Visocchi
Credential
MSPT
Provider Entity Type
Individual
Gender
Male
Address
5 High St, Medford, MA, 02155-3860
Phone Number
781-395-7333
Fax Number
781-395-7331
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Y67923 01 MA BCBS OF MASS
469253 01 MA TUFTS
Y6860901 01 MA MEDICARE P TAN
institution
Provider Business Practice Location Address Details
Address
5 High St
City
Medford
State
Massachusetts
Zip
02155-3860
Phone Number
781-395-7333
Fax Number
781-395-7331
person
Provider Business Mailing Address Details
Address
5 High St
City
Medford
State
Massachusetts
Zip
02155-3860
Phone Number
781-395-7333
Fax Number
781-395-7331
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
15414 (Massachusetts)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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