Provider Demographics
NPI:1164662623
Name:LITTLE, KAREN S (PT)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:S
Last Name:LITTLE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2250 SHIPYARD BLVD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403
Mailing Address - Country:US
Mailing Address - Phone:910-791-2343
Mailing Address - Fax:910-791-2325
Practice Address - Street 1:2250 SHIPYARD BLVD
Practice Address - Street 2:SUITE 7
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403
Practice Address - Country:US
Practice Address - Phone:910-791-2343
Practice Address - Fax:910-791-2325
Is Sole Proprietor?:No
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC8402225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist