Provider Demographics
NPI:1235364597
Name:BECKER, CINDY (PT)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:
Last Name:BECKER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 CEDAR HILL RD
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-5403
Mailing Address - Country:US
Mailing Address - Phone:718-868-1219
Mailing Address - Fax:
Practice Address - Street 1:570 CEDAR HILL RD
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691
Practice Address - Country:US
Practice Address - Phone:516-508-2010
Practice Address - Fax:718-228-5635
Is Sole Proprietor?:No
Enumeration Date:2009-05-15
Last Update Date:2018-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019639-12251H1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHand