Individual
BRIAN L BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5757 SOUTH LINDBERGH RD., SUITE 205, ST. LOUIS, MO 63123-1282
(618) 410-4319
(618) 235-0717
Mailing address
5757SOUTH LINDBERGH RD., SUITE 205, ST. LOUIS, MO 63123-1282
(618) 410-4319
(618) 235-0717
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01854
MO
225100000X
Physical Therapist
070008908
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00159674
RR MEDICARE
IL
Enumeration date
07/11/2006
Last updated
12/18/2009
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