Individual
CAROL ANN HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
316 E 14TH ST, KAUKAUNA, WI 54130-3304
(920) 766-6020
Mailing address
2406 RUFFED CT, GREEN BAY, WI 54311-5232
(920) 469-0781
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
277-019
WI
Other
Enumeration date
10/15/2008
Last updated
10/16/2008
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