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Individual

BECHER ALAH DAKKAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1300 W SILVER SPRING DR, GLENDALE, WI 53209-4415
(414) 228-8120
Mailing address
630 E KYLE CT, OAK CREEK, WI 53154-7942
(414) 530-2858

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4006-19
WI

Other

Enumeration date
11/06/2023
Last updated
11/06/2023
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