Individual
LIAM HIGGINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
9500 GILMAN DR, LA JOLLA, CA 92093-5004
(858) 822-2572
Mailing address
9500 GILMAN DR, LA JOLLA, CA 92093-5004
(858) 822-2572
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000008500
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000008500
BOARD OF CERTIFICATION
—
Enumeration date
02/22/2023
Last updated
02/22/2023
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