Individual
JOHNNA MICHELE HIGDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
110 PARK CITY RD, FORT OGLETHORPE, GA 30736
(706) 858-3702
Mailing address
1759 PEAVINE RD, ROCK SPRING, GA 30739-2024
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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