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1265693212
LARISSA L SMITH
SUMMERVILLE, SC
NPI
1265693212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 5621)
Enumeration Date
2008-06-23
Last Update Date
2008-06-23
Business Address
-- LARISSA L SMITH PT
205 MIDLAND PKWY
SUMMERVILLE, SC 29485-8104
Phone number: 843-875-7163
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Mailing Address
-- LARISSA L SMITH PT
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number:
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