Individual
JENIFER LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
3700 TAYLOR GLEN LN NW, CONCORD, NC 28027-3400
(704) 788-6510
Mailing address
11675 EDSEL DR, STANFIELD, NC 28163-7500
(704) 254-2815
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
3645
NC
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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