Individual
SHASTA NICOLE LITTLEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPTA
Contact information
Practice address
11623 ARBOR ST, OMAHA, NE 68144-2981
(402) 334-6022
(402) 334-6844
Mailing address
PO BOX 453068, GROVE, OK 74345-3068
(918) 791-8104
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TA840
OK
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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