Individual
SUSAN HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 8TH AVE, TERRE HAUTE, IN 47804-4030
(812) 238-7171
(812) 235-1526
Mailing address
PO BOX 293, ROSEDALE, IN 47874-0293
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003471A
IN
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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