| NPI | 1003838640 |
|---|---|
| Former Name | COURTNEY LITTLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WY PT847) |
| Additional Taxonomies | 2251N0400X Physical Therapist Neurology (Licence: WY PT847) |
| 2251S0007X Physical Therapist Sports (Licence: WY PT847) | |
| 2251X0800X Physical Therapist Orthopedic (Licence: WY PT847) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2024-10-07 |