Provider Demographics
NPI:1497791966
Name:LITTLE STARS, INC.
Entity Type:Organization
Organization Name:LITTLE STARS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:E
Authorized Official - Last Name:MAJOR
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:317-319-3693
Mailing Address - Street 1:939 MUESSING RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46239-9188
Mailing Address - Country:US
Mailing Address - Phone:317-319-3693
Mailing Address - Fax:
Practice Address - Street 1:939 MUESSING RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46239-9188
Practice Address - Country:US
Practice Address - Phone:317-319-3693
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31002758A225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty