Provider Demographics
NPI:1144428897
Name:HIGGINS, MARIA JUDITH (MSPT)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:JUDITH
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 LOUISE DR
Mailing Address - Street 2:
Mailing Address - City:TOLLAND
Mailing Address - State:CT
Mailing Address - Zip Code:06084-2536
Mailing Address - Country:US
Mailing Address - Phone:860-729-2851
Mailing Address - Fax:
Practice Address - Street 1:16 LOUISE DR
Practice Address - Street 2:
Practice Address - City:TOLLAND
Practice Address - State:CT
Practice Address - Zip Code:06084-2536
Practice Address - Country:US
Practice Address - Phone:860-729-2851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0027222251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics