Individual
JESSICA LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8100
Mailing address
167 WHETSTONE DR, SAINT CHARLES, MO 63303-3029
(314) 570-0221
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2012017958
MO
Other
Enumeration date
08/01/2012
Last updated
09/08/2022
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