Provider Demographics
NPI:1063031136
Name:LITTLE OCCUPATIONAL THERAPY SERVICE LLC
Entity type:Organization
Organization Name:LITTLE OCCUPATIONAL THERAPY SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABBY
Authorized Official - Middle Name:H
Authorized Official - Last Name:LITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:318-439-5329
Mailing Address - Street 1:421 AJ STEPHENS RD
Mailing Address - Street 2:
Mailing Address - City:BASKIN
Mailing Address - State:LA
Mailing Address - Zip Code:71219-9505
Mailing Address - Country:US
Mailing Address - Phone:318-439-5329
Mailing Address - Fax:
Practice Address - Street 1:112 FAIR AVE
Practice Address - Street 2:
Practice Address - City:WINNSBORO
Practice Address - State:LA
Practice Address - Zip Code:71295-2116
Practice Address - Country:US
Practice Address - Phone:318-460-0260
Practice Address - Fax:855-202-4270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-09
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty