Individual
MRS. ANNETTE MARIE BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
500 HALEY AVE, LOUISIANA, MO 63353-2417
(573) 754-6904
Mailing address
22515 PIKE 309, BOWLING GREEN, MO 63334-5210
(573) 470-3003
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2010003197
MO
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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