Individual
HEIDI MARIE HIGGENBOTTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,OTR
Contact information
Practice address
1120 S CALUMET RD, SUITE 3, CHESTERTON, IN 46304-3285
(219) 983-9675
Mailing address
442 MANOR DR, HOBART, IN 46342-2376
(219) 730-0331
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
31005943A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104200104
—
IN
Enumeration date
07/20/2015
Last updated
04/26/2018
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