Individual
REBECCA DENISE LAROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 WATERMAN AVE, EAST PROVIDENCE, RI 02914-3522
(401) 489-9184
Mailing address
20 MAY ST, BLACKSTONE, MA 01504-1821
(401) 489-9184
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT01728
RI
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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