Individual
KIMBERLY BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
139 MAPLE ROW BLVD, SUITE 300, HENDERSONVILLE, TN 37075-4487
(615) 826-7113
Mailing address
4605 CAMELLIA PL, NASHVILLE, TN 37216-1801
(615) 319-8145
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
544
TN
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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