| NPI | 1013985894 |
|---|---|
| Former Name | STACY DIANNE LITTLETON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1163068) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: TX 1163068) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2018-03-17 |