Provider Demographics
NPI:1215245386
Name:HIGHTOWER, JOSEPH L JR (OTR)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:L
Last Name:HIGHTOWER
Suffix:JR
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 W ALLEGHENY AVE
Mailing Address - Street 2:APT 203
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19132-3239
Mailing Address - Country:US
Mailing Address - Phone:267-340-5145
Mailing Address - Fax:
Practice Address - Street 1:1605 W ALLEGHENY AVE
Practice Address - Street 2:APT 203
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19132-3239
Practice Address - Country:US
Practice Address - Phone:267-340-5145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC011590225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist