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Individual

MR. EVAN MATTHEW LITTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
205 S MAIN ST, SUITE C, LONGMONT, CO 80501-1716
(303) 702-1612
Mailing address
7340 S ALTON WAY, STE 11-D, CENTENNIAL, CO 80112-2323
(720) 493-1181
(720) 493-1191

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT34689
CA
2251X0800X
Orthopedic Physical Therapist
Primary
10597
CO

Other

Enumeration date
07/23/2008
Last updated
11/22/2019
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