Individual
COREY SOUTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4041 N HIGH ST STE 100A, COLUMBUS, OH 43214-3248
(815) 901-1198
Mailing address
80 NORTHRIDGE RD, COLUMBUS, OH 43214-3324
(815) 901-1198
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
013384
OH
Other
Enumeration date
07/06/2010
Last updated
11/02/2024
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