Individual
PAUL HIGGINBOTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
608 DOUGLAS AVE, BREWTON, AL 36426-1812
(251) 769-1682
Mailing address
608 DOUGLAS AVE, BREWTON, AL 36426-1812
(251) 769-1682
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH2857
AL
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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