SearchMichigan175T00000X

Theresaa Little

NPI 1225740459 · on the registry since 2022 · sole proprietor

Practice

Address
5647 E Outer Dr
Detroit, MI 48234
Phone
(313) 463-3483

Registry record

Primary taxonomy
175T00000X
175T00000X
Also registered as
101YA0400X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-12-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan