Provider Demographics
NPI:1023872074
Name:LITTLE HANDS PEDIATRIC THERAPY LLC
Entity type:Organization
Organization Name:LITTLE HANDS PEDIATRIC THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JORDYN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOTT
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:229-881-3820
Mailing Address - Street 1:829 PHILLIP CAUSEY RD
Mailing Address - Street 2:
Mailing Address - City:DOERUN
Mailing Address - State:GA
Mailing Address - Zip Code:31744-4906
Mailing Address - Country:US
Mailing Address - Phone:229-881-3820
Mailing Address - Fax:
Practice Address - Street 1:829 PHILLIP CAUSEY RD
Practice Address - Street 2:
Practice Address - City:DOERUN
Practice Address - State:GA
Practice Address - Zip Code:31744-4906
Practice Address - Country:US
Practice Address - Phone:229-881-3820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty