Individual
DAWN STACEY BECKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6678 COUNTY ROAD 32, NORWICH, NY 13815-3554
(607) 335-1200
(607) 334-9848
Mailing address
23 DAU CT, BINGHAMTON, NY 13904-2812
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
007890-1
NY
225200000X
Physical Therapy Assistant
TE009150
PA
Other
Enumeration date
10/13/2011
Last updated
04/23/2012
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