Individual
ANNA SOUTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8830 S SEPULVEDA BLVD, LOS ANGELES, CA 90045-4833
(424) 225-1845
(310) 933-4803
Mailing address
8830 S SEPULVEDA BLVD, LOS ANGELES, CA 90045-4833
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
293571
CA
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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