Individual
RAUKEESE NICHOLAUS ANTONIO LITTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
4201 BESSEMER SUPER HWY, BESSEMER, AL 35020-2412
(205) 428-3249
Mailing address
4344 EASTMONT DR, MONTGOMERY, AL 36109-3131
(251) 378-1883
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA8066
AL
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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