Individual
JONATHAN BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1865 GAYLORD ST APT B, DENVER, CO 80206-1237
(720) 935-4146
Mailing address
1865 GAYLORD ST APT B, DENVER, CO 80206-1237
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0013490
CO
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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