| NPI | 1689628315 |
|---|---|
| Former Name | NIKKI BECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 60518) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60537555) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2015-05-30 |