| Doctor Name: | LAURA A SOUTHARD |
| NPI Number: | 1003028069 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | PT00010496 |
| Business Practice Address: | 222 Ashville Ave Suite 20 Cary, NC - 275186130 |
| Business Phone Number: | 9198635924 |
| Business Fax Number: | 9198635923 |
| Mailing Address: | 3001 Edwards Mill Rd, 200 RALEIGH |
| State: | NC |
| Postal Code: | 276125243 |
| Phone Number: | 9197814060 |
| Fax Number: | 9197815246 |
| NPI Enumeration Date: | 05/04/2007 |
| NPI Last Update Date: | 09/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT00010496 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |