Individual
KARL WAYNE HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5312 BARBERRY LN, BOSSIER CITY, LA 71112-5010
(318) 470-3587
Mailing address
5312 BARBERRY LN, BOSSIER CITY, LA 71112-5010
(318) 470-3587
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1784
SC
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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