Individual
MRS. MARY R LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3232 W ROYAL LN, IRVING, TX 75063-3105
(866) 953-0011
Mailing address
42 JUDSON RD, WEYMOUTH, MA 02188-1415
(781) 901-2852
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2728
MA
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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