Little Roots Therapy, LLC
Occupational Therapy Assistant in Lavaca, AR. Organization (NPI-2).
NPI number1104697341
StatusActive
Last updated in NPPESAug 25, 2025
Details
- NPI
- 1104697341
- Entity type
- Organization (NPI-2)
- Legal business name
- Little Roots Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Jan 15, 2024
- Certification date
- Aug 25, 2025
- Last updated
- Aug 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | – | – | Yes |
Other names
- Katie Davidson (Doing Business As)
Practice location
2941 N Davis StLavaca, AR 72941-4517
Phone 479-806-2879
Mailing address
2941 N Davis StLavaca, AR 72941-4517
Phone 479-806-2879
Authorized official
Katie Renee Davidson
Owner/Cota
4798062879
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