Individual
BETHANY A MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 E GREGORY AVE, MARION, IL 62959-3325
(618) 922-8898
Mailing address
805 E GREGORY AVE, MARION, IL 62959-3325
(618) 922-8898
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.005335
IL
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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