Individual
TANYA WILLIAMS BECKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4010 NW DALE DR, CORVALLIS, OR 97330-2902
(541) 738-6626
Mailing address
4010 NW DALE DR, CORVALLIS, OR 97330-2902
(541) 738-6626
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4506
OR
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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