Individual
GABRIEL BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3010 W LAKE RD, ERIE, PA 16505-3849
(814) 833-2385
Mailing address
3010 W LAKE RD, ERIE, PA 16505-3849
(814) 833-2385
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEO10960
PA
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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