Individual
ROBERT BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
211 NEW BRITAIN RD, STE 101, BERLIN, CT 06037-1360
(860) 827-1333
Mailing address
41 CLIFFVIEW DR, BERLIN, CT 06037-4045
(860) 829-1718
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002895
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002895
LICENSE NUMBER
CT
Enumeration date
08/21/2006
Last updated
07/08/2007
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