Provider Demographics
NPI:1982885562
Name:LITTLE, ABBY HATTEN (OT)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:HATTEN
Last Name:LITTLE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 AJ STEPHENS RD
Mailing Address - Street 2:
Mailing Address - City:BASKIN
Mailing Address - State:LA
Mailing Address - Zip Code:71219-9505
Mailing Address - Country:US
Mailing Address - Phone:318-439-5329
Mailing Address - Fax:
Practice Address - Street 1:421 AJ STEPHENS RD
Practice Address - Street 2:
Practice Address - City:BASKIN
Practice Address - State:LA
Practice Address - Zip Code:71219-9505
Practice Address - Country:US
Practice Address - Phone:318-460-0260
Practice Address - Fax:855-202-4270
Is Sole Proprietor?:No
Enumeration Date:2007-11-24
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
LA225XP0200X
LA304387225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics