Individual
LARA TREVETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, PCS
Contact information
Practice address
1051 JOHNNIE DODDS BLVD, MOUNT PLEASANT, SC 29464-3100
(843) 654-9694
Mailing address
2952 RIVERWOOD DR, MOUNT PLEASANT, SC 29466-8164
(682) 465-2537
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
10961
SC
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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