Provider Demographics
NPI:1164499711
Name:LITTLE, CYNTHIA PATTON (MS PT PCS)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:PATTON
Last Name:LITTLE
Suffix:
Gender:F
Credentials:MS PT PCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3156 COUNTY RD 378
Mailing Address - Street 2:
Mailing Address - City:DUTTON
Mailing Address - State:AL
Mailing Address - Zip Code:35744
Mailing Address - Country:US
Mailing Address - Phone:256-657-2434
Mailing Address - Fax:256-657-3310
Practice Address - Street 1:3156 COUNTY RD 378
Practice Address - Street 2:TWIN ACRES PHYSICAL THERAPY
Practice Address - City:DUTTON
Practice Address - State:AL
Practice Address - Zip Code:35744
Practice Address - Country:US
Practice Address - Phone:256-657-2434
Practice Address - Fax:256-657-3310
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2196225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
51046533OtherBCBS