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NPI Code Detail

MEDICARE: BRITTANY MARIE BECKER MOT, OTR/L

MEDICARE: BRITTANY MARIE BECKER MOT, 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 Therapist056.010145IL

General Provider Information

NPI Number : 1467738039
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY MARIE BECKER MOT, OTR/L
Provider Business Mailing Address
First Line : 1657 W CORTLAND ST
Second Line :
City : CHICAGO
State : IL
Zip : 60622-1119
Country : US
Telephone Number : 417-849-2018
Fax Number :
Provider Business Practice Location Address
First Line : 1657 W CORTLAND ST
Second Line :
City : CHICAGO
State : IL
Zip : 60622-1119
Country : US
Telephone Number : 417-849-2018
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2011
Last Update Date : 12/04/2014

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