Individual
DAVID BRENT LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
754 N COLLEGE RD, SUITE D, TWIN FALLS, ID 83301-5822
(208) 734-5313
(208) 736-1582
Mailing address
754 N COLLEGE RD, SUITE D, TWIN FALLS, ID 83301-5822
(208) 734-5313
(208) 736-1582
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
RPT357
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174642961
—
ID
Enumeration date
03/29/2007
Last updated
05/17/2013
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