Individual provider · NPI-1

Lisa Little

Kinesiotherapist · Hines, IL

NPI number1154946887
StatusActive
Last updated in NPPESJun 9, 2020

Details

NPI
1154946887
Entity type
Individual (NPI-1)
Name
Lisa Little
Sex
Female
Sole proprietor
No
Enumeration date
Jun 9, 2020
Certification date
Jun 9, 2020
Last updated
Jun 9, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
226300000X Kinesiotherapist––Yes

Practice location

5000 S 5th Ave
Bldg 217, Room 2a17
Hines, IL 60141

Phone 708-202-2654

Mailing address

5000 S 5th Ave
Bldg 217 Room 2a17
Hines, IL 60141

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