Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. BEVERLY LOUISE STEPHENS, COTA/L
Active Sole ProprietorGerontology Occupational Therapist · PEORIA, IL
Registration Details
- NPI Number
- 1104298645
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 23, 2015 (10.494072525823 yrs)
- Last Updated
- Oct 23, 2015
- License
-
057'002773 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3020 N VICTORIA AVEPEORIA, IL, 616042322Browse IL providers · Browse ZIP 61604
- Phone
- 3096578704
- Primary Specialty
-
Gerontology Occupational Therapist
225XG0600X
Other Gerontology Occupational Therapist Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| LISA BETH WADE | — | 1003576083 |
| RANDI JO JUENGER | — | 1245991389 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.