Teresa Southard, PT

NPI #1174732689 in Boulder, Colorado

Provider Information

NPI Number
1174732689
Entity Type
Individual
Name
Teresa Southard, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
May 21, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1100 BALSAM AVE
ZIP Code
80304-3404
Phone
(303) 441-0526

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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