Individual
TANYA M BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1201 34TH ST, SAN DIEGO, CA 92102-2416
(619) 906-9324
Mailing address
1201 34TH ST, SAN DIEGO, CA 92102-2416
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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