Individual
KIMBERLY KAY BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1051 W SOUTH ST, KEWANEE, IL 61443
(309) 852-7931
Mailing address
1051 W SOUTH ST, KEWANEE, IL 61443-8354
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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