Basic Information
| Provider Information | |||||||||
| NPI: | 1295951481 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HIGGINS | ||||||||
| FirstName: | KATHY | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | PT | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | FLAHERTY | ||||||||
| OtherFirstName: | KATHY | ||||||||
| OtherMiddleName: | MARIE | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 207 BROOK HOLLOW RD | ||||||||
| Address2: | |||||||||
| City: | MT PLEASANT | ||||||||
| State: | PA | ||||||||
| PostalCode: | 156669179 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 200 COLLEGE DR | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | LEMONT FURNACE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15456 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7244396061 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/17/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT017389 | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.