Individual
MR. GARY RICHARD HIGGINBOTHAM II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
300 BLUE RIDGE ST, MARTINSVILLE, VA 24112-7261
(276) 632-1249
Mailing address
506 BARTON CT, COLFAX, NC 27235-9624
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P10052
NC
Other
Enumeration date
02/12/2010
Last updated
04/12/2024
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