MEDICARE: DEBRA LYNN LITTLEPAGE OTR/L, CHT, MBA

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	225X00000X	Occupational Therapist	OT1719	MS

General Provider Information

NPI Number	:	1093153082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA LYNN LITTLEPAGE OTR/L, CHT, MBA

Provider Business Mailing Address
First Line	:	2781 C.T. SWITZER DRIVE
Second Line	:	SUITE 404
City	:	BILOXI
State	:	MS
Zip	:	39531-4535
Country	:	US
Telephone Number	:	228-594-6499
Fax Number	:	228-594-6744

Provider Business Practice Location Address
First Line	:	2781 C.T. SWITZER DRIVE
Second Line	:	SUITE 404
City	:	BILOXI
State	:	MS
Zip	:	39531-4535
Country	:	US
Telephone Number	:	228-594-6499
Fax Number	:	228-594-6744

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2013
Last Update Date	:	09/19/2022

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