Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 2564 | MN |
NPI | 1003044967 |
---|---|
Provider Name | Karen J Higgins |
First Address | St Louis Park, MN 55426-1728 |
Second Address | Coon Rapids, MN 55433-4572 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2009 |
Last Update Date | 03/12/2009 |