Individual
MRS. CARISSA ANNE HIGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4343 KENNEDY DR, EAST MOLINE, IL 61244-4203
(309) 796-6600
Mailing address
11623 ARBOR ST, OMAHA, NE 68144-2991
(402) 334-1919
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160005427
IL
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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