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Individual

BETH A CARR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
845 WATER ST, NORTHUMBERLAND, PA 17857-1243
(570) 473-3912
(570) 473-8731
Mailing address
PO BOX 64, NORTHUMBERLAND, PA 17857-0064
(570) 473-3912
(570) 473-8731

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
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