Maryalice Coraccio in Lowell - Developmental Therapist
Maryalice Coraccio - NPI 1962683649
Maryalice Coraccio is a Developmental Therapist in Lowell, Massachusetts. Maryalice Coraccio practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Maryalice Coraccio is 1962683649. The last update date is 2007-11-21.
Maryalice Coraccio's current location address is 126 Phoenix Ave, Lowell, Massachusetts. You can contact this provider via phone number 9784538331. The mailing address for Maryalice Coraccio is 126 Phoenix Ave, Lowell, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maryalice Coraccio |
|---|---|
| Address | 126 Phoenix Ave, Lowell, Massachusetts |
| Phone Number | 9784538331 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | B.S. |
NPI Number Detail
| NPI Number | 1962683649 |
|---|---|
| Provider Enumeration Date | 2007-11-21 |
| Last Updated Date | 2007-11-21 |
Provider Mailing Address Detail
| Address | 126 Phoenix Ave |
|---|---|
| City | Lowell |
| State | Massachusetts (MA) |
| Post Code | 18524931 |
| Phone Number | 9784538331 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
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Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Maryalice Coraccio by the Centers for Medicare & Medicaid Services?
The Maryalice Coraccio has been assigned the NPI (National Provider Identifier) 1962683649 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Maryalice Coraccio is geographically located?
The Maryalice Coraccio is physically situated at the following location: 126 Phoenix Ave, Lowell, MA, 18524931.
What is the Maryalice Coraccio's area of specialization and corresponding taxonomy classification?
The Maryalice Coraccio's specialty field is Developmental Therapist, and it falls under the taxonomy code 222Q00000X, which categorizes healthcare providers based on their specialties.
When was the Maryalice Coraccio's 1962683649 issued?
The Maryalice Coraccio's 1962683649 was issued on 2007-11-21.
As of what date were the details related to Maryalice Coraccio most recently updated or revised?
The information pertaining to Maryalice Coraccio, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-21.