Individual
HALLIE PEARL LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 E OLIVE ST, MARSHALLTOWN, IA 50158-4175
(641) 752-4581
Mailing address
103 6TH ST, FAIRBANK, IA 50629-8592
(319) 404-5870
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
097750
IA
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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