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NPI Code Detail

MEDICARE: DENISE JOAN BECKER O.T.

MEDICARE: DENISE JOAN BECKER O.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
1225X00000XOccupational Therapist004001NY

General Provider Information

NPI Number : 1407978109
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE JOAN BECKER O.T.
Provider Business Mailing Address
First Line : 16 FRANCIS AVE
Second Line : #5C
City : NYACK
State : NY
Zip : 10960-1925
Country : US
Telephone Number : 917-679-2854
Fax Number :
Provider Business Practice Location Address
First Line : 260 68TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-5201
Country : US
Telephone Number : 718-833-6633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2007
Last Update Date : 07/08/2007

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Directions to “ DENISE JOAN BECKER O.T.” Practice Location

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