Individual
NATANYA GENESE SOUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2250 N CRAYCROFT RD, TUCSON, AZ 85712-2802
(520) 733-8700
Mailing address
10723 E PEACH BELL PL, TUCSON, AZ 85747-6013
(520) 979-8001
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-013111
AZ
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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