Individual
MRS. LARISA S AGREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4 CARRIAGE LN, CHARLESTON, SC 29407-6065
(843) 766-1119
Mailing address
1376 PARKSHORE DR, CHARLESTON, SC 29407-3124
(843) 607-7143
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1496
SC
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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