| NPI | 1700028594 |
|---|---|
| Former Name | EILEEN ANN BECNEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 07619) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: LA OTT.200285) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2018-10-17 |