Individual
MRS. CAREY REBECCA PEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14107 SE 281ST PL, KENT, WA 98042-7409
(253) 561-2932
Mailing address
14107 SE 281ST PL, KENT, WA 98042-7409
(253) 561-2932
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12125625
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
439932E
—
WA
Enumeration date
10/16/2012
Last updated
10/16/2012
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