MEDICARE: LITTLE STARS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0200X	Pediatric Occupational Therapist	31002758A	IN

General Provider Information

NPI Number	:	1497791966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LITTLE STARS, INC.

Provider Business Mailing Address
First Line	:	939 MUESSING RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46239-9188
Country	:	US
Telephone Number	:	317-319-3693
Fax Number	:

Provider Business Practice Location Address
First Line	:	939 MUESSING RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46239-9188
Country	:	US
Telephone Number	:	317-319-3693
Fax Number	:

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPIST
Name	:	MS. ELIZABETH E. MAJOR
Credential	:	OTR
Telephone Number	:	317-319-3693

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	04/18/2008

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Directions to “LITTLE STARS, INC. ” Practice Location

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