Individual
MRS. DARLA SUE CARBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
250 C WESTLAKE AVENUE, MORTON, WA 98356-0145
(360) 496-0087
(360) 496-0078
Mailing address
PO BOX 145, MORTON, WA 98356-0145
(360) 496-0087
(360) 496-0078
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008727
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0192531
LABOR & INDUSTRY PROVIDER
WA
05
—
7127327
—
WA
Enumeration date
05/03/2007
Last updated
11/01/2012
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