Organization
PROACTIVE SPINE & SPORTS PHYSICAL THERAPY
Active
Organization
PROACTIVE SPINE & SPORTS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE P. LITTLE DPT (OWNER/CEO)
(530) 605-4422
Entity
Organization
Contact information
Practice address
2620 LARKSPUR LANE, SUITE T, REDDING, CA 96002-1043
(530) 605-4422
(530) 722-4289
Mailing address
2620 LARKSPUR LN STE T, REDDING, CA 96002-1043
(530) 605-4422
(530) 722-4289
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
39209
CA
Other
Enumeration date
05/09/2013
Last updated
12/31/2022
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