Provider Demographics
NPI:1588684500
Name:LITTLE, DALE P (DPT)
Entity Type:Individual
Prefix:
First Name:DALE
Middle Name:P
Last Name:LITTLE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2620 LARKSPUR LN STE T
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-1043
Mailing Address - Country:US
Mailing Address - Phone:530-605-4422
Mailing Address - Fax:530-722-4289
Practice Address - Street 1:2620 LARKSPUR LN
Practice Address - Street 2:SUITE T
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-1044
Practice Address - Country:US
Practice Address - Phone:530-605-4422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2022-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT39209225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist