Individual
ANGELA D HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3 PROFESSIONAL PARK DR, SUITE 10, JOHNSON CITY, TN 37604-6529
(423) 926-4331
(423) 926-5767
Mailing address
3 PROFESSIONAL PARK DR, SUITE 10, JOHNSON CITY, TN 37604-6529
(423) 926-4331
(423) 926-5767
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5820
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36526971
—
TN
Enumeration date
02/26/2007
Last updated
12/31/2008
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