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Individual

DAVID C. HIGGINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, MPT

Contact information

Practice address
512 WARREN AVE, SUITE 4, PORTLAND, ME 04103-1006
(207) 878-5002
(207) 878-5007
Mailing address
11 MAIN ST STE 7, PMB 252, WESTBROOK, ME 04092-4786
(207) 878-5002
(207) 878-5007

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3042
ME
225100000X
Physical Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1962783597
GROUP NPI # FOR PRIVATE PRACTICE
ME
Enumeration date
11/19/2009
Last updated
12/03/2015
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