Individual
BRANDON DOUGLAS LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
22180 PONTIAC TRL STE E, SOUTH LYON, MI 48178-9097
(248) 446-0155
(248) 446-0177
Mailing address
22180 PONTIAC TRL STE E, SOUTH LYON, MI 48178-9097
(248) 446-0155
(248) 446-0177
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501302275
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501302275
PT LICENSE
MI
Enumeration date
07/15/2015
Last updated
10/26/2022
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