Individual
MS. MEGAN LIANA LAROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMT
Contact information
Practice address
158 CAREW ST, CORNER BUILDING ON CAREW AND CHESTNUT STREETS, SPRINGFIELD, MA 01104-3405
(413) 386-2095
Mailing address
158 CAREW ST, CORNER BUILDING ON CAREW AND CHESTNUT STREETS, SPRINGFIELD, MA 01104-3405
(413) 386-2095
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9703
MA
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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