Jacqueline C Southard, DPT
NPI #1962795021 in Greenfield, Wisconsin
Provider Information
- NPI Number
- 1962795021
- Entity Type
- Individual
- Name
- Jacqueline C Southard, DPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- DPT
- Enumeration Date
- May 24, 2011
- Last Updated
- Dec 5, 2022
Practice Location
- Address
- 9000 W SURA LN
- City
- Greenfield
- State
- Wisconsin
- ZIP Code
- 53228-3477
- Phone
- (414) 246-6800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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