Provider Demographics
NPI:1023346814
Name:LITTERER THERAPY GROUP LLC.
Entity type:Organization
Organization Name:LITTERER THERAPY GROUP LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:LITTERER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:319-404-7830
Mailing Address - Street 1:215 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:IA
Mailing Address - Zip Code:50658-0211
Mailing Address - Country:US
Mailing Address - Phone:641-435-4112
Mailing Address - Fax:641-435-4112
Practice Address - Street 1:215 MAIN STREET
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:IA
Practice Address - Zip Code:50658-0211
Practice Address - Country:US
Practice Address - Phone:641-435-4112
Practice Address - Fax:641-435-4112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-07
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01300225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty