MEDICARE: KATHERINE 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
1	225X00000X	Occupational Therapist	13386	MA

General Provider Information

NPI Number	:	1306611447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE BECKER OTR/L

Provider Business Mailing Address
First Line	:	49 RUTHERFORD AVE
Second Line	:
City	:	HAVERHILL
State	:	MA
Zip	:	01830-2725
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	254 BILLERICA RD
Second Line	:
City	:	CHELMSFORD
State	:	MA
Zip	:	01824-4114
Country	:	US
Telephone Number	:	23-197-8256
Fax Number	:

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

Provider Enumeration Date	:	11/20/2023
Last Update Date	:	11/20/2023

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