Individual
BETH A CARR
Active
Individual
BETH A CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00373IL
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03165700
CAPITAL BLUE CROSS
PA
01
—
544065
HIGHMARK
PA
Enumeration date
09/26/2005
Last updated
10/18/2007
Update your record
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