Individual
BOBBI SOUTHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8301 HUNGARY SPRING ROAD, RICHMOND, VA 23228
(804) 756-3020
Mailing address
10099 HOLLY RD, MECHANICSVILLE, VA 23116-4005
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000325
VA
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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