Individual
MRS. ANGELA MARIE BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
402 FIRST STREET, RANDOM LAKE, WI 53075-0323
(920) 994-9700
Mailing address
15100 W CLEVELAND AVE, #289, NEW BERLIN, WI 53151-3770
(920) 994-9700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4983-026
WI
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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