Individual
MS. MICAH MARIE LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3533 DUNN RD STE 232, FLORISSANT, MO 63033-6761
(314) 839-0002
Mailing address
3533 DUNN RD STE 232, FLORISSANT, MO 63033-6761
(314) 839-0002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2013028657
MO
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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