Individual
AUDRA BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 W 9TH ST, JASPER, IN 47546-2516
(812) 996-2345
Mailing address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006239A
IN
Other
Enumeration date
01/29/2017
Last updated
10/24/2024
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