Provider Demographics
NPI:1922262930
Name:WILLIAMS, BEVERLEY ISABELLE (PT)
Entity Type:Individual
Prefix:MRS
First Name:BEVERLEY
Middle Name:ISABELLE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8010 WOODCREEK DR
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-3610
Mailing Address - Country:US
Mailing Address - Phone:412-220-4518
Mailing Address - Fax:
Practice Address - Street 1:1725 WASHINGTON RD STE 601
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-1214
Practice Address - Country:US
Practice Address - Phone:412-465-0020
Practice Address - Fax:412-927-5333
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-18
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT010020L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist