TERESA SOUTHARD

BOULDER, CO
NPI1174732689
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CO  6064)
Enumeration Date2007-05-21
Last Update Date2007-07-08
Business Address
-- TERESA SOUTHARD PT
1100 BALSAM AVE
BOULDER, CO 80304-3404
Phone number: 303-441-0526
Mailing Address
-- TERESA SOUTHARD PT
370 INCA PKWY
BOULDER, CO 80303-3518
Phone number: