Provider Demographics
NPI:1053504050
Name:HIGGINS, TIFFANY ARMSTRONG (OTRL)
Entity Type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:ARMSTRONG
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:MS
Other - First Name:TIFFANY
Other - Middle Name:A
Other - Last Name:ARMSTRONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTRL
Mailing Address - Street 1:2502 DUCK CLUB RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-2572
Mailing Address - Country:US
Mailing Address - Phone:336-314-0760
Mailing Address - Fax:336-217-8850
Practice Address - Street 1:2502 DUCK CLUB RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-2572
Practice Address - Country:US
Practice Address - Phone:336-314-0760
Practice Address - Fax:336-217-8850
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-22
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4315225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7301909Medicaid