KELLY SOUTHARD

GREENVILLE, SC
NPI1114145653
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  1953)
Enumeration Date2007-04-22
Last Update Date2007-07-08
Business Address
Mrs. KELLY SOUTHARD
3400 ANDERSON RD STE C
GREENVILLE, SC 29611-7651
Phone number: 864-295-9890
Mailing Address
Mrs. KELLY SOUTHARD
300 DUNHILL DR
ANDERSON, SC 29625-5209
Phone number: 864-375-1235
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