MEDICARE: MERI KATHRYN BECKER D.P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT 24417	CA

General Provider Information

NPI Number	:	1326051335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERI KATHRYN BECKER D.P.T.

Provider Business Mailing Address
First Line	:	1333 N MOUNTAIN AVE
Second Line	:
City	:	CLAREMONT
State	:	CA
Zip	:	91711-3436
Country	:	US
Telephone Number	:	626-918-6655
Fax Number	:

Provider Business Practice Location Address
First Line	:	1333 N MOUNTAIN AVE
Second Line	:
City	:	CLAREMONT
State	:	CA
Zip	:	91711-3436
Country	:	US
Telephone Number	:	626-918-6655
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	07/08/2007

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