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Individual

KELLY ROSE BECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
525 N SANTIAM HWY, LEBANON, OR 97355-4363
(541) 451-7125
(541) 451-7589
Mailing address
PO BOX 739, LEBANON, OR 97355-0739
(541) 451-7125
(541) 451-7589

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60356
OR

Other

Enumeration date
06/08/2016
Last updated
06/08/2016
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