Individual
HALEY A BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
RANDOLPH HEALTH PHYSICAL THERAPY AND SPORTS MEDICINE, 503 N FAYETTEVILLE STREET, ASHEBORO, NC 27203-4728
(336) 626-3700
(336) 626-6453
Mailing address
218 FOUST ST STE C, ASHEBORO, NC 27203-5476
(336) 625-2233
(336) 625-5511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P19365
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639783004
—
NC
Enumeration date
09/03/2020
Last updated
11/17/2020
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