Individual
CAROL BECKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3437 CAROLINE AVENUE, DEPARTMENT OF PHYSICAL THERAPY, ST. LOUIS, MO 63104-1111
(314) 977-8505
(314) 977-8513
Mailing address
4393 HOLLY HILLS, ST. LOUIS, MO 63116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
101320
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101320
STATE LICENSE NUMBER
MO
Enumeration date
05/01/2007
Last updated
07/08/2007
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