BEVERLY JAMISON PENNICOOKE

LONG BEACH, CA
NPI1245605005
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  AT3766)
Enumeration Date2015-12-04
Last Update Date2015-12-04
Business Address
Mrs. BEVERLY JAMISON PENNICOOKE PTA
330 GOLDEN SHORE DR
LONG BEACH, CA 90802
Phone number: 562-256-7550
Mailing Address
Mrs. BEVERLY JAMISON PENNICOOKE PTA
3503 LINDEN AVE APT 201
LONG BEACH, CA 90807-4532
Phone number: 562-400-8618