Individual
BEVERLY L ECKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, CLT
Contact information
Practice address
5122 KATELLA AVE # 16, LOS ALAMITOS, CA 90720-2826
(562) 795-5295
Mailing address
10435 MOLETTE ST, BELLFLOWER, CA 90706-4130
(562) 804-0251
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT1354
CA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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