Individual
JACOB BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 BLOSSOM ST, COLUMBIA, SC 29208-2909
(641) 780-1230
Mailing address
2004 STATE ST UNIT B, CAYCE, SC 29033-3957
(641) 780-1230
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
1060760
IA
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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