Individual
KATHLEEN E BECCAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1135 LEGION DR # 100, ELM GROVE, WI 53122-2204
(262) 788-9578
Mailing address
219 LINCOLNSHIRE PL APT 207, WALES, WI 53183-8705
(630) 346-3963
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16035-24
WI
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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