| NPI | 1003028069 |
|---|---|
| Other Name | LAURA ANN SOUTHARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P15396) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00010496) |
| 225100000X Physical Therapist (Licence: ME PT3775) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2025-09-15 |