| Doctor Name: | MRS. JOANNA POLAND SOUTHARD |
| NPI Number: | 1134358278 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | PTH4929 |
| Business Practice Address: | 245 Cahaba Valley Pkwy Suite 200 Pelham, AL - 351242216 |
| Business Phone Number: | 2059426820 |
| Business Fax Number: | 2059425884 |
| Mailing Address: | 5968 Wall Triana Hwy, MADISON |
| State: | AL |
| Postal Code: | 357577200 |
| Phone Number: | 2568302316 |
| Fax Number: | 2568302383 |
| NPI Enumeration Date: | 07/10/2009 |
| NPI Last Update Date: | 07/10/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PTH4929 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| 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 |