Individual
MILES JOHN BECNEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
340 FALCONER DR, COVINGTON, LA 70433-8204
(985) 893-2845
Mailing address
340 FALCONER DRIVE, COVINGTON, LA 70433
(985) 893-2845
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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