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Individual

HOLLEA HIGGINBOTHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4715 WHITESBURG DR SE, HUNTSVILLE, AL 35802-1632
(256) 319-8500
(256) 319-8503
Mailing address
4715 WHITESBURG DR SE, HUNTSVILLE, AL 35802-1632
(256) 319-8500
(256) 319-8503

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH7673
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1508947839
GROUP NPI
AL
05
529906520
AL
Enumeration date
08/13/2015
Last updated
08/13/2015
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