Provider Demographics
NPI:1134884711
Name:BECKER, GIANNA (OTR)
Entity type:Individual
Prefix:
First Name:GIANNA
Middle Name:
Last Name:BECKER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 ROSCOE AVE
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07940-2417
Mailing Address - Country:US
Mailing Address - Phone:973-738-3357
Mailing Address - Fax:
Practice Address - Street 1:15 ROSCOE AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:NJ
Practice Address - Zip Code:07940-2417
Practice Address - Country:US
Practice Address - Phone:973-738-3357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-08
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist