Individual
HEATHER SOUTHWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10821
MA
2251S0007X
Sports Physical Therapist
Primary
10821
MA
Other
Enumeration date
05/23/2007
Last updated
11/19/2020
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