Provider Demographics
NPI:1740344829
Name:CARR, BETH LINDLEY (DPT, CWS)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:LINDLEY
Last Name:CARR
Suffix:
Gender:F
Credentials:DPT, CWS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:571 PONE LN
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:PA
Mailing Address - Zip Code:16323-3553
Mailing Address - Country:US
Mailing Address - Phone:814-437-6191
Mailing Address - Fax:814-437-6197
Practice Address - Street 1:571 PONE LN
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323-3553
Practice Address - Country:US
Practice Address - Phone:814-437-6191
Practice Address - Fax:814-437-6197
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
OHPT011139225100000X
PAPT015104225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist