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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

LAURA A SOUTHARD, DPT
222 ASHVILLE AVE
SUITE 20
CARY, NC27518-6130
 Phone: 919-863-5924
 Fax: 919-863-5923
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LAURA A SOUTHARD · (Female)

NPI Number 1003028069
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 05/04/2007
Last updated 09/14/2015 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • ME License # PT3775
  • NC License # 15396
  • WA License # PT00010496
  • WA Medicaid 8482622
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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