Provider Demographics
NPI:1922638782
Name:LITTLE HAM'S THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:LITTLE HAM'S THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGOVERN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-796-3995
Mailing Address - Street 1:211 PLEASANT RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:AR
Mailing Address - Zip Code:72045-9741
Mailing Address - Country:US
Mailing Address - Phone:412-417-8743
Mailing Address - Fax:
Practice Address - Street 1:211 PLEASANT RIDGE RD
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:AR
Practice Address - Zip Code:72045-9741
Practice Address - Country:US
Practice Address - Phone:412-417-8743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-21
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty