Individual
JAMES BECK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
4227 N 27TH AVE, APT. 2035, PHOENIX, AZ 85017-5904
(510) 789-7932
Mailing address
4227 N 27TH AVE, APT. 2035, PHOENIX, AZ 85017-5904
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6949
AZ
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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