Individual
CHERYL ANNETTE PERRILLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5124 S ALASKA RD, PEORIA, IL 61607-9541
(309) 219-3631
Mailing address
5124 S ALASKA RD, PEORIA, IL 61607-9541
(309) 219-3631
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057001346
IL
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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