Individual
MS. CAROL R BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
5795 LEWISTON RD, LEWISTON, NY 14092-2152
(716) 286-8612
Mailing address
3532 ROUTE 77, VARYSBURG, NY 14167-9758
(815) 761-0914
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NY
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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