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1174732689
TERESA SOUTHARD
BOULDER, CO
NPI
1174732689
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CO 6064)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
-- TERESA SOUTHARD PT
1100 BALSAM AVE
BOULDER, CO 80304-3404
Phone number: 303-441-0526
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Mailing Address
-- TERESA SOUTHARD PT
370 INCA PKWY
BOULDER, CO 80303-3518
Phone number:
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