Individual
KATELYN HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
0TR/L
Contact information
Practice address
3391 RICHMOND AVE, STATEN ISLAND, NY 10312-2025
(718) 608-9170
(718) 608-9179
Mailing address
23 WINDHAM DR, SOUTHINGTON, CT 06489-1860
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
019194-1
NY
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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