Individual
ADAM J SOUTHALL
Active
Individual
ADAM J SOUTHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT002931
WV
225100000X
Physical Therapist
Primary
PT005686
KY
225100000X
Physical Therapist
PT013083
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3083676
—
OH
05
—
3810019746
—
WV
Enumeration date
09/30/2010
Last updated
05/05/2016
Update your record
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