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Beverly Jamison Pennicooke, PTA
NPI 1245605005 · on the registry since 2015 · sole proprietor
Practice
- Address
- 330 Golden Shore Dr
Long Beach, CA 90802 - Phone
- (562) 256-7550
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-12-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California