Individual
MRS. AMANDA JEAN BECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
801 S KLEIN DR, WAUNAKEE, WI 53597-1575
(608) 849-5016
(608) 850-6878
Mailing address
801 S KLEIN DR, WAUNAKEE, WI 53597-1575
(608) 849-5016
(608) 850-6878
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3247026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40482300
—
WI
Enumeration date
04/18/2008
Last updated
04/18/2008
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