Individual
MS. BOBBI J. SOUTHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 E MARKET ST, ELMIRA, NY 14901-3223
(607) 733-6541
(607) 737-1532
Mailing address
6786 STATE ROUTE 415, BATH, NY 14810-7707
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014243
NY
Other
Enumeration date
12/18/2006
Last updated
11/15/2011
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