Individual
BRANDI LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 TROUP HWY, STE 800, TYLER, TX 75703-2356
(903) 939-2800
Mailing address
15685 REGIAN DR, LINDALE, TX 75771-3604
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
108860
TX
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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