Individual
JENNIFER C HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., OTR
Contact information
Practice address
129 S PEBBLE BEACH BLVD, SUITE 102, SUN CITY CENTER, FL 33573-5718
(813) 633-6800
(813) 633-6801
Mailing address
3311 W TYSON AVE, TAMPA, FL 33611-4315
(813) 909-5219
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT12393
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891559800
—
FL
Enumeration date
03/05/2007
Last updated
01/30/2017
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