Individual
DR. JACQUELINE LOUISE BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
182 LAKESIDE PARK DR, HENDERSONVILLE, TN 37075-4834
(760) 410-8485
(760) 593-2689
Mailing address
182 LAKESIDE PARK DR, HENDERSONVILLE, TN 37075-4834
(760) 410-8485
(760) 593-2689
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
13988
TN
225100000X
Physical Therapist
Primary
40179
CA
225100000X
Physical Therapist
40QA01322300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99999999
—
CA
05
—
99999999
—
TN
Enumeration date
08/11/2009
Last updated
09/27/2022
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