Most Relevant Information
Provider Data
| NPI Number: | 1003028069 |
| Provider Name: | LAURA A SOUTHARD DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT00010496 |
Most Important Dates
| Enumeration Date: | 05/04/2007 |
| Last Updated: | 01/14/2021 |
Provider Practice Location
222 ASHVILLE AVE
SUITE 20
CARY
NC
275186130
Practice Location Phone/Fax
| Phone: | 9198635924 |
| Fax: | 9198635923 |
Provider Mailing Location
2000 PERIMETER PARK DR
STE 200
MORRISVILLE
NC
275608442
Provider Mailing Phone/Fax
| Phone: | 9842154110 |
| Fax: |