Individual
TRACY ANN HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2171 JERICHO TPKE, 340, COMMACK, NY 11725-2937
(631) 499-5595
Mailing address
300 3RD AVE, EAST NORTHPORT, NY 11731-3410
(631) 368-4343
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0076121
NY
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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