Individual
CARRIE L HIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
132 S 6TH ST, PONCHATOULA, LA 70454-3317
(985) 386-6884
Mailing address
15 WELDON CIR, PONCHATOULA, LA 70454-3642
(985) 386-5294
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z10939
LA
Other
Enumeration date
04/04/2011
Last updated
07/26/2016
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