Individual
ANDREW SCOTT LITTLEJOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
103 HARBER ROAD, GROVE, OK 74344
(918) 786-2276
Mailing address
4 QUANNA DR, FAIRLAND, OK 74343-1001
(918) 961-8553
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1509
OK
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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