Individual
CORTNEY HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
N1548 STATE ROAD 106, PALMYRA, WI 53156-9678
(262) 364-6967
Mailing address
N1548 STATE ROAD 106, PALMYRA, WI 53156-9678
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1441212213
—
WI
Enumeration date
11/29/2017
Last updated
05/16/2019
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