Individual
SAMANTHA HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
601 GATEWAY BLVD N, CHESTERTON, IN 46304-9658
(219) 921-1444
(219) 926-6926
Mailing address
8259 WICKER AVE, SAINT JOHN, IN 46373-8878
(800) 341-1703
(877) 719-4609
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014795A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4420112461
DRIVERS LICENSE
IN
Enumeration date
09/02/2022
Last updated
09/02/2022
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