Individual
JORDAN MARIE LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 N SUNSHINE BLVD, ELOY, AZ 85131-2178
(520) 466-2100
Mailing address
513 E JUDI DR, CASA GRANDE, AZ 85122-1609
(520) 582-7541
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047106
—
AZ
Enumeration date
08/18/2022
Last updated
08/18/2022
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