Individual
KELLI BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
700 E BEARDSLEY AVE, STE 100, ELKHART, IN 46514-3366
(574) 206-8010
Mailing address
PO BOX 404480, ATLANTA, GA 30384-4480
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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