Individual
TALEN LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
195 FEATHER WAY, EVANSTON, WY 82930-9352
(307) 224-7940
Mailing address
3689 W EL GLEN AVE, WEST VALLEY, UT 84120-4104
(801) 455-1492
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2049
WY
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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