Individual
MISS SOMER NICOLE HIGDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT, MOT
Contact information
Practice address
695 S NARDO AVE, G4, SOLANA BEACH, CA 92075-2327
(970) 481-7377
Mailing address
695 S NARDO AVE, SOLANA BEACH, CA 92075-2327
(970) 481-7377
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
9257
CO
2251G0304X
Geriatric Physical Therapist
9257
CO
2251S0007X
Sports Physical Therapist
9257
CO
2251X0800X
Orthopedic Physical Therapist
Primary
9257
CO
225X00000X
Occupational Therapist
1074264
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1074264
OT CERTIFICATION
CO
01
—
9257
PT LICENSE
CO
Enumeration date
10/26/2006
Last updated
11/27/2012
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