Provider Demographics
NPI:1326563974
Name:LITTLE, KAYLA (COTA/L)
Entity Type:Individual
Prefix:MS
First Name:KAYLA
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 1:1415 SHADY TREE WAY
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23323-2942
Mailing Address - Country:US
Mailing Address - Phone:757-292-0801
Mailing Address - Fax:
Practice Address - Street 1:1415 SHADY TREE WAY
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23323-2942
Practice Address - Country:US
Practice Address - Phone:757-292-0801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist