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Individual

MR. JOHN BECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
8420 W DREXEL AVE, FRANKLIN, WI 53132-9725
(414) 217-5831
Mailing address
8420 W DREXEL AVE, FRANKLIN, WI 53132-9725
(414) 217-5831

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.003548
IL

Other

Enumeration date
07/28/2014
Last updated
07/28/2014
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