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Individual

BRIANNA M BECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6 BRINDLEY LN, CENTER RIDGE, AR 72027-8454
(501) 289-0446
Mailing address
6 BRINDLEY LN, CENTER RIDGE, AR 72027-8454
(501) 289-0446

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 3299
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
193182721
AR
Enumeration date
07/20/2012
Last updated
10/05/2012
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