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1104090406
KENNETH ALLEN BECKLER
PEORIA, IL
NPI
1104090406
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.004671)
Enumeration Date
2008-04-17
Last Update Date
2008-04-24
Business Address
Mr. KENNETH ALLEN BECKLER PTA
6501 N SHERIDAN RD
PEORIA, IL 61614-2932
Phone number: 309-692-8110
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Mailing Address
Mr. KENNETH ALLEN BECKLER PTA
6501 N SHERIDAN RD
PEORIA, IL 61614
Phone number:
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