Individual
JESSICA BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
780 DICKINSON RD, CHESTERTON, IN 46304-3551
(219) 921-2200
Mailing address
1800 N. WABASH AVE. STE 203, MARION, IN 46952-1300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
99060490A
IN
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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