Provider Demographics
NPI:1972822682
Name:HUGGINS, MARIA WILHELMINA (PT)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:WILHELMINA
Last Name:HUGGINS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:MARIA
Other - Middle Name:WILHELMINA
Other - Last Name:JAGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2318 IOWA DR
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-2045
Mailing Address - Country:US
Mailing Address - Phone:915-276-0979
Mailing Address - Fax:
Practice Address - Street 1:3106 S W S YOUNG DR
Practice Address - Street 2:SUITE 101
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-2000
Practice Address - Country:US
Practice Address - Phone:254-628-8391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1063030225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist