Individual
MRS. KIMBERLY J. BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA OTRL
Contact information
Practice address
2016 S 6TH ST, BRAINERD, MN 56401-4529
(218) 828-7375
Mailing address
14248 231ST AVE, STAPLES, MN 56479-3363
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102713
MN
Other
Enumeration date
05/08/2007
Last updated
05/24/2016
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