Provider Demographics
NPI:1720711591
Name:LITTLE, BRITTNEY (COTA/L)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:LITTLE
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11309 GOLF LINKS DR APT 9105
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-8223
Mailing Address - Country:US
Mailing Address - Phone:704-244-4752
Mailing Address - Fax:
Practice Address - Street 1:11309 GOLF LINKS DR APT 9105
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-8223
Practice Address - Country:US
Practice Address - Phone:704-244-4752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14858224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant