MRS. Kathyren Marie Southerland, PTA
NPI #1083083729 in Owensville, Missouri
Provider Information
- NPI Number
- 1083083729
- Entity Type
- Individual
- Name
- MRS. Kathyren Marie Southerland, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Sep 23, 2015
- Last Updated
- Sep 23, 2015
Practice Location
- Address
- 1910 NURSING HOME RD
- City
- Owensville
- State
- Missouri
- ZIP Code
- 65066-2844
- Phone
- (573) 437-4101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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