Individual
BECKY A DYKSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6003 E 41ST ST N, BEL AIRE, KS 67220-3866
(316) 744-9252
Mailing address
6003 E 41ST ST N, BEL AIRE, KS 67220-3866
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01627
KS
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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