Provider Demographics
NPI:1780865584
Name:HIGHBARGER, HELENE M (OT)
Entity Type:Individual
Prefix:
First Name:HELENE
Middle Name:M
Last Name:HIGHBARGER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14650 TIFFANY CT
Mailing Address - Street 2:
Mailing Address - City:GRANGER
Mailing Address - State:IN
Mailing Address - Zip Code:46530-9687
Mailing Address - Country:US
Mailing Address - Phone:574-273-0978
Mailing Address - Fax:
Practice Address - Street 1:1215 TRINITY PL
Practice Address - Street 2:
Practice Address - City:MISHAWAKA
Practice Address - State:IN
Practice Address - Zip Code:46545-5000
Practice Address - Country:US
Practice Address - Phone:574-406-0199
Practice Address - Fax:317-449-5783
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-20
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31002869A174400000X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No174400000XOther Service ProvidersSpecialist