Individual
ERIC BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
9647 HAMILTON ST, RANCHO CUCAMONGA, CA 91701-5019
(805) 570-3275
Mailing address
9647 HAMILTON ST, RANCHO CUCAMONGA, CA 91701-5019
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
02/06/2022
Last updated
02/06/2022
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