MEDICARE: LITTLE STEPS PEDIATRIC PHYSICAL THERAPY 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
1	2251P0200X	Pediatric Physical Therapist	PTL0002015	CO

General Provider Information

NPI Number	:	1912412271
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LITTLE STEPS PEDIATRIC PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	3453 ALCOTT ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-3341
Country	:	US
Telephone Number	:	303-882-3464
Fax Number	:

Provider Business Practice Location Address
First Line	:	3453 ALCOTT ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-3341
Country	:	US
Telephone Number	:	303-882-3464
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR/PHYSICAL THERAPIST
Name	:	FRIEDA HUNTER
Credential	:	PT
Telephone Number	:	303-882-3464

Provider Enumeration Date	:	12/08/2017
Last Update Date	:	12/08/2017

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