Provider Demographics
NPI:1962739755
Name:LITTLE HANDS PEDIATRIC THERAPY SERVICES, LLC
Entity type:Organization
Organization Name:LITTLE HANDS PEDIATRIC THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZALIS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, OTR/L
Authorized Official - Phone:203-202-7654
Mailing Address - Street 1:85 OLD KINGS HWY N
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:DARIEN
Mailing Address - State:CT
Mailing Address - Zip Code:06820-4724
Mailing Address - Country:US
Mailing Address - Phone:203-202-7654
Mailing Address - Fax:203-202-7655
Practice Address - Street 1:85 OLD KINGS HWY N
Practice Address - Street 2:2ND FLOOR
Practice Address - City:DARIEN
Practice Address - State:CT
Practice Address - Zip Code:06820-4724
Practice Address - Country:US
Practice Address - Phone:203-202-7654
Practice Address - Fax:203-202-7655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-16
Last Update Date:2009-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003422225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty