Individual
DJUANA BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1307 E HARDING ST STE B, MORRILTON, AR 72110-2239
(501) 208-8063
(501) 354-1133
Mailing address
PO BOX 363, MORRILTON, AR 72110-0363
(501) 208-8063
(501) 354-1133
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 1593
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127240721
—
AR
01
—
5U984
BLUE CROSS
AR
Enumeration date
08/18/2006
Last updated
12/29/2020
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