IndividualActive
Becher Dakkak, PTA
NPI 1871366484 · Physical Therapy Assistant · Glendale, WI
Provider details
- NPI number
- 1871366484
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4006-19 (WI)
Practice location
1300 W Silver Spring Dr
Glendale, WI 53209-4415
Phone: (414) 228-8120
Mailing address
630 E Kyle Ct
Oak Creek, WI 53154-7942
Registry dates
- Enumerated
- 2023-11-06
- Last updated
- 2023-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.