Provider Demographics
NPI:1568072684
Name:LITTLE DRAGONFLY THERAPY LLC
Entity Type:Organization
Organization Name:LITTLE DRAGONFLY THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MSPT
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARLINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-249-9105
Mailing Address - Street 1:13857 OAK FOREST BLVD N
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33776-3416
Mailing Address - Country:US
Mailing Address - Phone:727-249-9105
Mailing Address - Fax:
Practice Address - Street 1:13857 OAK FOREST BLVD N
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33776-3416
Practice Address - Country:US
Practice Address - Phone:727-249-9105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-04
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health