Individual ProviderMarisa ViscoPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3385 Burns Rd Ste 108, Palm Beach Gardens, FL 33410-4328(561) 432-0111PECOS EnrollmentBased on the most recent information from CMS, provider Marisa Visco does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1659058121Provider TypeIndividualFull NameVisco, MarisaCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date6/28/2023Last Updated2/22/2024Contact InformationPractice LocationPractice Address3385 Burns Rd Ste 108, Palm Beach Gardens, FL 33410-4328Phone(561) 432-0111FaxUnlisted FaxMailing LocationMailing Address5840 Corporate Way Ste 101, West Palm Beach, FL 33407-2040Phone(561) 432-0111Fax(561) 432-1075Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT39813FloridaCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense40QA02146600New Jersey