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ANTHONY ALAN SOUTHORN PT, DPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1013540822

Individual Registrant:
 ANTHONY ALAN SOUTHORN PT, DPT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
28235 AL HIGHWAY 53  ARDMORE, AL 35739-8703 US
Tel: 256-943-1426  Fax: 569-377-4712

Contact information for business:
1200 CORPORATE DR STE 400  HOOVER, AL 35242-5424 US
Tel: 423-238-7217  Fax: --

Registration Information:
NPI: 1013540822
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
TX1312829
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
ALPTH10005

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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