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Individual

MR. JOHN FULLER BECKWITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
74 E 18TH AVE STE 10, EUGENE, OR 97401
(541) 344-1038
(541) 344-1605
Mailing address
74 E 18TH AVE STE 10, EUGENE, OR 97401-4081
(541) 344-1038
(541) 344-1605

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
06353
OR
225100000X
Physical Therapist
Primary
6353
OR

Other

Enumeration date
01/13/2014
Last updated
06/20/2018
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