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Individual

DR. MICHAEL HIGGINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC, PT, CSCS

Contact information

Practice address
210 EMMET ST S, CHARLOTTESVILLE, VA 22903-2455
(434) 924-7907
Mailing address
1101 KILLDEER LN, CROZET, VA 22932-2832
(443) 848-3317
(410) 704-3912

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
1016
DE
2251S0007X
Sports Physical Therapist
16418
MD
2251S0007X
Sports Physical Therapist
2305003798
VA
2255A2300X
Athletic Trainer
Primary
0126002711
VA
2255A2300X
Athletic Trainer
J30000104
DE

Other

Enumeration date
09/07/2005
Last updated
07/03/2020
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