Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Beverly Louise Stephens, COTA/L

Individual provider Gerontology Occupational Therapist · NPI 1104298645

MS. Beverly Louise Stephens, COTA/L is a Gerontology Occupational Therapist in Peoria, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2015
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

3020 N Victoria Ave
Peoria, IL 61604-2322
Phone: (309) 657-8704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Occupational Therapist (primary) Taxonomy 225XG0600X · Licence 057'002773 (IL)

Record details

NPI number1104298645
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedOctober 23, 2015
Last updated in NPPESOctober 23, 2015

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