Individual
CARLA PEDEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4040 ORCHARD ST W, SUITE 100, FIRCREST, WA 98466-6606
(951) 696-9353
(951) 973-7216
Mailing address
4040 ORCHARD ST W, SUITE 100, FIRCREST, WA 98466-6606
(951) 696-9353
(951) 973-7216
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
MA00012503
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA00012503
LMT LICENSE
WA
Enumeration date
04/21/2017
Last updated
04/21/2017
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