Individual
KIMBERLY LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
455 BRAYTON AVE, SOMERSET, MA 02726-2642
(508) 679-2240
Mailing address
5 FIR AVE, SOMERSET, MA 02726-1313
(508) 207-2256
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3264
MA
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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