Individual
KAIA RAE HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6520 3RD ST, ROCKLEDGE, FL 32955-5703
(321) 622-8792
Mailing address
1303 WORTH CT NE, PALM BAY, FL 32905-4347
(321) 368-0569
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT25248
FL
Other
Enumeration date
05/27/2024
Last updated
05/28/2024
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