Individual
JASON L LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
719 CRESTLINE DR, MEXIA, TX 76667-2046
(903) 388-7588
Mailing address
719 CRESTLINE DR, MEXIA, TX 76667-2046
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
206229
TX
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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