Individual
DR. LINDSAY JANE SOUTHAM
Active
Individual
DR. LINDSAY JANE SOUTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017080
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17153
NORTH CAROLINA BOARD OF PHYSICAL THERAPY EXAMINERS
NC
01
—
PT017080
OHIO OCCUPATIONAL THERAPY, PHYSICAL THERAPY AND ATHLETIC TRAINER BOARD LICENSE
OH
Enumeration date
12/11/2017
Last updated
12/11/2017
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