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Individual

DESIREE LYNN LITTLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
110 N MAIN ST # 133, HORSEHEADS, NY 14845-2121
(607) 742-8001
Mailing address
110 N MAIN ST # 133, HORSEHEADS, NY 14845-2121
(607) 742-8001

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007600-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03552696
NY
Enumeration date
06/17/2010
Last updated
07/21/2022
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