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NPI Code Detail

MEDICARE: KENDALL BECKER OTR/L

MEDICARE: KENDALL BECKER OTR/L
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 Therapist11220CA

General Provider Information

NPI Number : 1417232836
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDALL BECKER OTR/L
Provider Business Mailing Address
First Line : 7140 GLADYS AVE
Second Line :
City : EL CERRITO
State : CA
Zip : 94530-2218
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7140 GLADYS AVE
Second Line :
City : EL CERRITO
State : CA
Zip : 94530-2218
Country : US
Telephone Number : 510-231-1445
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2011
Last Update Date : 02/24/2026

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Directions to “ KENDALL BECKER OTR/L” Practice Location

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