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Individual

CAROL ANN HIGGERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
10600 MASTIN ST, OVERLAND PARK, KS 66212-5723
(913) 681-0606
(913) 338-1311
Mailing address
PO BOX 741331, ATLANTA, GA 30374-1331
(913) 469-0503
(913) 338-1311

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02050
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33465011
BLUE CROSS BLUE SHIELD
KS
01
DD6341
RR MEDICARE
KS
Enumeration date
11/01/2006
Last updated
03/19/2013
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