MRS. Jennifer Lee Becker, PTA

NPI #1194005447 in Dardenne Prairie, Missouri

Provider Information

NPI Number: 1194005447
Entity Type: Individual
Name: MRS. Jennifer Lee Becker, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 18, 2011
Last Updated: Jan 29, 2014

Practice Location

Address: 643 KNOLLSHIRE WAY
City: Dardenne Prairie
State: Missouri
ZIP Code: 63368-8379
Phone: (636) 541-2398

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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