Individual
NICOLE BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
12108 SAINT CHARLES ROCK RD, 110, BRIDGETON, MO 63044-2601
(314) 739-2020
Mailing address
14515 N OUTER 40 RD, 110, CHESTERFIELD, MO 63017-5791
(314) 434-8680
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2016027206
MO
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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