Alizabeth Besondy Quillen Adams

Individual provider Active NPI Physical Therapist · Montgomery, OH

NPI 1730870445 · NPPES record last updated May 15, 2023

Key facts

NPI
1730870445
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT020429 (OH)
Practice address
10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone
(513) 865-5300
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PT020429OHMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT020429 OH Yes

Addresses

Primary practice location

10500 Montgomery Rd
Montgomery, OH 45242-4402

Mailing address

342 Bonnie Leslie Ave
Bellevue, KY 41073-1718
Phone (419) 296-3012

Other providers in Montgomery, OH

All providers in Montgomery, OH · Physical Therapist in Ohio

Sources for this page

Verify at the official NPI Registry.