Individual
CAROLYN BECKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
439 S KIRKWOOD RD, KIRKWOOD, MO 63122-6169
(636) 448-2952
Mailing address
251 STRATHMOOR WAY, O FALLON, MO 63368-7229
(636) 240-0299
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01740
MO
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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