MEDICARE: SHIRLEY A BECK 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	174400000X	Specialist	2305003033	VA

General Provider Information

NPI Number	:	1326055898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHIRLEY A BECK P.T.

Provider Business Mailing Address
First Line	:	1126 N FREDERICK ST
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22205-2549
Country	:	US
Telephone Number	:	703-524-7252
Fax Number	:	703-524-6820

Provider Business Practice Location Address
First Line	:	1126 N FREDERICK ST
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22205-2549
Country	:	US
Telephone Number	:	703-524-7252
Fax Number	:	703-524-6820

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

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	07/08/2007

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Directions to “ SHIRLEY A BECK P.T.” Practice Location

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