| NPI | 1972788123 |
|---|---|
| Former Name | TERRA M LITTLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 1105428) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2007037239) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2016-07-21 |