Individual
AMY NOEL LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
597 W FOREST AVE, JACKSON, TN 38301-3935
(731) 300-4800
Mailing address
53 BOBBITT RD, MEDINA, TN 38355-6832
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2492
TN
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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