Individual
RANDY A BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
11080 E GYPSY LANE RD, BOWLING GREEN, OH 43402-9564
(419) 353-8411
Mailing address
11080 E GYPSY LANE RD, BOWLING GREEN, OH 43402-9564
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA. 04467
OH
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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