Individual
MS. BEVERLY A MENNINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAOTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-007187
IL
225XN1300X
Neurorehabilitation Occupational Therapist
056-007187
IL
225XP0200X
Pediatric Occupational Therapist
056-007187
IL
Other
Enumeration date
04/22/2014
Last updated
09/15/2025
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