Coraccio, Maryalice

Coraccio, Maryalice is an sole proprietor health care provider with primary practice located at 126 Phoenix Ave , Lowell MA 01852-4931. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Coraccio, Maryalice can be contacted via phone (978) 453-8331.

Contact Information

Primary practice address
126 Phoenix Ave Lowell MA 01852-4931
Phone: (978) 453-8331
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1962683649
LBN Legal business name Coraccio, Maryalice
Credentials B.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2007
Last updated Nov 21st, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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