Kelly Southard

NPI 1114145653 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1114145653
Gender Female
Enumeration Date 04/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3400 ANDERSON RD STE C
GREENVILLE SC, 29611-7651, US
Phone (864) 295-9890
Fax
Business Location
300 DUNHILL DR
ANDERSON SC, 29625-5209, US
Phone (864) 375-1235
Fax
Toxanomy
Taxonomy Code 225200000X
License State South Carolina
License Number 1953
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According to our database, Mrs. Kelly Southard NPI is 1114145653, taxonomy code is 225200000X and license number is 1953, license state is located at South Carolina. Kelly Southard physically located at 3400 Anderson Rd Ste C, Greenville SC, 29611-7651. NPI Number Kelly Southard has the Individual type.

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1114145653 NPI number is provided on an as is basis without warranty of any kind. 1114145653 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Southard are for informational purposes only.