Provider Demographics
NPI:1366400905
Name:HIGBY, CHRISTOPHER SCOTT (OT)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:SCOTT
Last Name:HIGBY
Suffix:
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 BOWDEN RD
Mailing Address - Street 2:STE 103
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-8066
Mailing Address - Country:US
Mailing Address - Phone:850-588-6852
Mailing Address - Fax:850-588-6847
Practice Address - Street 1:10800 PANAMA CITY BEACH PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32407-2533
Practice Address - Country:US
Practice Address - Phone:850-588-6852
Practice Address - Fax:850-588-6847
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT4593225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist