BEVERLY PENERMON, RSA

Rehabilitation Practitioner

Active Individual
NPI: 1477102598

Practice Address

988 N ILLINOIS ROUTE 3
Waterloo, IL 62298

Phone: (618) 939-4444

Specialties

Specialty Code Primary License
Rehabilitation Practitioner 225400000X Yes -

Frequently Asked Questions

NPI 1477102598 is the National Provider Identifier for BEVERLY PENERMON, RSA, a Rehabilitation Practitioner provider located in Waterloo, IL. This NPI was enumerated on September 11, 2019.
BEVERLY PENERMON, RSA practices at 988 N ILLINOIS ROUTE 3, Waterloo, IL 62298.

Quick Facts

NPI
1477102598
Type
Individual
Enumerated
Sep 11, 2019
Last Updated
Sep 11, 2019

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