Individual
MRS. JOANNA POLAND SOUTHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
245 CAHABA VALLEY PKWY, SUITE 200, PELHAM, AL 35124-2216
(205) 942-6820
(205) 942-5884
Mailing address
5968 WALL TRIANA HWY, MADISON, AL 35757-7200
(256) 830-2316
(256) 830-2383
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4929
AL
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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