Individual
ANNA SOUTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
234 S PACIFIC COAST HWY STE 205, REDONDO BEACH, CA 90277-7036
(213) 267-1367
Mailing address
234 S PACIFIC COAST HWY STE 205, REDONDO BEACH, CA 90277-7036
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
293571
CA
2251N0400X
Neurology Physical Therapist
Primary
293571
CA
Other
Enumeration date
08/17/2017
Last updated
08/06/2026
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