Individual
BETH SIMON CRABTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
710 NW JUNIPER ST, STE 104, ISSAQUAH, WA 98027-2717
(425) 392-7989
(425) 391-2554
Mailing address
1122 N 27TH ST, TACOMA, WA 98403-2914
(253) 572-2962
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT00002513
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8344855
—
WA
Enumeration date
05/17/2007
Last updated
07/08/2007
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