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Individual
WILLIAM JOSEPH CARRIVEAU
Active
Individual
WILLIAM JOSEPH CARRIVEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00002256
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0068096
LABOR & INDUSTRIES
WA
05
—
8335929
—
WA
01
—
CA9050
REGENCE BLUESHIELD
WA
Enumeration date
10/31/2006
Last updated
07/08/2007
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