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1558918185
ADAM HIGGS
FOUNTAIN INN, SC
NPI
1558918185
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 4930)
Enumeration Date
2019-08-19
Last Update Date
2019-08-19
Business Address
ADAM HIGGS COTA/L
204 SHADY PINES CT
FOUNTAIN INN, SC 29644-9785
Phone number: 864-408-9509
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Mailing Address
ADAM HIGGS COTA/L
PO BOX 1312
FOUNTAIN INN, SC 29644-1054
Phone number: 864-408-9509
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