Individual
DUSTIN WADE LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, CSCS
Contact information
Practice address
2409 10TH ST APT 116, BROOKINGS, SD 57006-5528
(605) 880-9045
Mailing address
2409 10TH ST APT 116, BROOKINGS, SD 57006-5528
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1619
SD
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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