Individual
AMY DIANE BECKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2781 OSBORN DR, LAKE HAVASU CITY, AZ 86406-8629
(928) 505-5552
Mailing address
470 ACOMA BLVD S, #136, LAKE HAVASU CITY, AZ 86406-7799
(928) 412-5100
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10146A
AZ
225200000X
Physical Therapy Assistant
2095570
TX
Other
Enumeration date
04/04/2013
Last updated
05/14/2013
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