Provider Demographics
NPI:1023353471
Name:HIGGINS, CANDACE ERIN (MOTR/L)
Entity type:Individual
Prefix:MRS
First Name:CANDACE
Middle Name:ERIN
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5895 WALSH PT APT 101
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80919-2042
Mailing Address - Country:US
Mailing Address - Phone:719-460-4473
Mailing Address - Fax:
Practice Address - Street 1:835 TENDERFOOT HILL RD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906
Practice Address - Country:US
Practice Address - Phone:719-576-8380
Practice Address - Fax:719-576-1060
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-11
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2682225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist