Individual
TESS M HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10340 MILTON POTSDAM RD, WEST MILTON, OH 45383-9613
(937) 829-4950
Mailing address
10340 MILTON POTSDAM RD, WEST MILTON, OH 45383-9613
(937) 829-4950
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
GSY8351
OH
3747P1801X
Personal Care Attendant
Primary
GSY8351
OH
376J00000X
Homemaker
GSY8351
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150476
—
OH
05
—
121931
—
OH
Enumeration date
11/18/2020
Last updated
11/18/2020
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