Individual
DEANA HIGDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95 HONEYSUCKLE DR, LEITCHFIELD, KY 42754-7660
(270) 230-7602
Mailing address
95 HONEYSUCKLE DR, LEITCHFIELD, KY 42754-7660
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
KY-A4082
KY
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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