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NPI Code Detail

MEDICARE: LITTLE HANDS LITTLE FEET, LLC

MEDICARE: LITTLE HANDS LITTLE FEET, LLC
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
1261QP2000XPhysical Therapy Clinic/CenterPT17648FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Y036GOTHERFLBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1477563138
Entity Type Code : Organization
Provider Name (Legal Business Name) : LITTLE HANDS LITTLE FEET, LLC
Provider Business Mailing Address
First Line : 3924 MESA RD
Second Line :
City : DESTIN
State : FL
Zip : 32541-2061
Country : US
Telephone Number : 850-862-7227
Fax Number : 850-862-2421
Provider Business Practice Location Address
First Line : 4 JACKSON ST NE
Second Line :
City : FORT WALTON BEACH
State : FL
Zip : 32548-4925
Country : US
Telephone Number : 850-862-7227
Fax Number : 850-862-2421
Authorized Official
Title or Position : OWNER/DIRECTOR
Name : MRS. PAIGE L. SCOPER
Credential : PT, PCS
Telephone Number : 850-862-7227
Provider Enumeration Date : 08/08/2006
Last Update Date : 08/22/2020

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Directions to “LITTLE HANDS LITTLE FEET, LLC ” Practice Location

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