Individual
KARL BEALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CTRS/R
Contact information
Practice address
1707 COOKS HILL RD, CENTRALIA, WA 98531-9071
(360) 261-6930
Mailing address
1707 COOKS HILL RD, CENTRALIA, WA 98531-9071
(360) 261-6930
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
60582623
WA
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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