Individual
JACK HIGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2077 ONEAL LN, BATON ROUGE, LA 70816-3204
(225) 754-5188
Mailing address
489 COLLEGE HILL DR, BATON ROUGE, LA 70808-4946
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/19/2024
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