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Individual

MRS. SUSAN BEATY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
17077 MERIDIAN AVE N, SHORELINE, WA 98133-5531
(206) 393-4251
Mailing address
17077 MERIDIAN AVE N, SHORELINE, WA 98133-5531

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
04/04/2014
Last updated
04/04/2014
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