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Individual
LAUREL I BECK
Active
Individual
LAUREL I BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
PT00005297
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039585
LABOR AND INDUSTRIES #
WA
05
—
8337560
—
WA
01
—
CA9446
BLUE SHIELD #
WA
01
—
US1048049
AETNA SPECIALIST PIN
WA
Enumeration date
05/21/2007
Last updated
04/11/2008
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