Provider Demographics
NPI:1174091250
Name:LITTLE-HAYES, PAMELA LITTLE (OTR/L)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:LITTLE
Last Name:LITTLE-HAYES
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MRS
Other - First Name:PAMELA
Other - Middle Name:ANN
Other - Last Name:LITTLE-HAYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PAMELA LITTLE OTR/L
Mailing Address - Street 1:9 PEBBLESTONE COURT
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1516 FIRST AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044
Practice Address - Country:US
Practice Address - Phone:513-422-0713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-07
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT-002593225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty