Individual
MR. SHANE BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 SHERMAN AVE, CINCINNATI, OH 45212-2510
(513) 631-6800
Mailing address
1500 SHERMAN AVE, CINCINNATI, OH 45212-2510
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08603
OH
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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