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NPI Code Detail

MEDICARE: CARRIE L HIGGS LOTR

MEDICARE: CARRIE L HIGGS LOTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOTT.Z10939LA

General Provider Information

NPI Number : 1861781478
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARRIE L HIGGS LOTR
Provider Business Mailing Address
First Line : 15 WELDON CIR
Second Line :
City : PONCHATOULA
State : LA
Zip : 70454-3642
Country : US
Telephone Number : 985-386-5294
Fax Number :
Provider Business Practice Location Address
First Line : 132 S 6TH ST
Second Line :
City : PONCHATOULA
State : LA
Zip : 70454-3317
Country : US
Telephone Number : 985-386-6884
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2011
Last Update Date : 07/26/2016

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Directions to “ CARRIE L HIGGS LOTR” Practice Location

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