Individual
MRS. CAROL ANN BEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
501 19TH AVE E, SEATTLE, WA 98112-4006
(206) 860-3746
(206) 860-0343
Mailing address
910 13TH AVE, SEATTLE, WA 98122-4430
(206) 329-3986
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PT00000509
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BEBERCA572P2
DRVER LICENSE
WA
Enumeration date
07/11/2006
Last updated
07/08/2007
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