Individual
ASHLEY BECKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
176 CANDY LN, PROVIDENCE, KY 42450-2284
(270) 635-3047
Mailing address
176 CANDY LN, PROVIDENCE, KY 42450-2284
(270) 635-3047
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
172403
KY
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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