Individual
ALICIA C ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1311 13TH AVE UNIT F, CONWAY, SC 29526-3668
(843) 855-2322
Mailing address
202 CEDAR LN, CONWAY, SC 29527-6031
(757) 375-8534
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12020
SC
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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