MS. Beverly Louise Stephens, COTA/L

NPI #1104298645 in Peoria, Illinois

Provider Information

NPI Number
1104298645
Entity Type
Individual
Name
MS. Beverly Louise Stephens, COTA/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist - Gerontology
Credential
COTA/L
Enumeration Date
Oct 23, 2015
Last Updated
Oct 23, 2015

Practice Location

Address
3020 N VICTORIA AVE
City
Peoria
ZIP Code
61604-2322
Phone
(309) 657-8704

Specialties & Taxonomy Codes

Specialty
Occupational Therapist - GerontologyGerontology

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