Individual
JOSHUA BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3620 WALNUT ST STE 200, PHILADELPHIA, PA 19104-6220
(215) 718-4417
Mailing address
3620 WALNUT ST STE 200, PHILADELPHIA, PA 19104-6220
(215) 718-4417
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
—
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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