Individual
BRENT LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 MAGGIE SESSIONS ST, ALTO, TX 75925-5988
(936) 858-2255
Mailing address
613 BASCOM RD, WHITEHOUSE, TX 75791-3222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1095339
TX
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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