SAMANTHA J VISCO

ORLANDO, FL
NPI1104954809
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  AL 3696)
Enumeration Date2007-03-02
Last Update Date2015-03-18
Business Address
-- SAMANTHA J VISCO ATC
4180 N ORION BLVD
ORLANDO, FL 32816-8029
Phone number: 407-823-0095
Mailing Address
-- SAMANTHA J VISCO ATC
1049 CHATHAM PINES CIR APT 307
WINTER SPRINGS, FL 32708-5247
Phone number: 404-217-6572
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