Individual
LIBBY KELLAR LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1270 MCCONNELL DR STE B, DECATUR, GA 30033-3507
(770) 892-6879
Mailing address
600 HENRY DR, WOODSTOCK, GA 30188-4158
(404) 935-8172
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007550
GA
Other
Enumeration date
11/05/2019
Last updated
08/27/2023
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