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Individual

BROOKE ANN SOUTHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
214 18TH ST SE, HICKORY, NC 28602-1363
(828) 485-2160
Mailing address
PO BOX 40, PUNGOTEAGUE, VA 23422-0040
(703) 473-8207

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305217416
VA
225100000X
Physical Therapist
Primary
CP049523T
NC

Other

Enumeration date
09/25/2025
Last updated
05/15/2026
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