Individual
CHANEL BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 W 9TH AVE, OSHKOSH, WI 54904-7247
(920) 223-2000
Mailing address
N7360 COUNTY ROAD C, ELDORADO, WI 54932-9601
(920) 979-2151
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5766-27
WI
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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