About Us

A pediatric therapy resource


A therapist-owned company established in 2001, our outstanding therapy staff consists of over 50 physical, occupational and speech therapists with a variety of specializations, certifications, and additional trainings.

We provide physical, occupational and speech therapy within the fun, playful atmosphere of our clinics as well as in homes, schools, and other community sites.

Our Team

Our outstanding therapy staff consists of over 50 physical, occupational and speech therapists with a variety of specializations, certifications, and additional trainings.

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Donna S. Smith, PT, C/NDT

Southwest Texas State University

LTTS Owner

Donna knew that she would enter a profession that supported the community and provided assistance in some capacity to people, families, and communities in need.

From a young age, physical therapy was her calling, and early in her career she knew her destiny included owning a practice. She never could have imagined the amazing family that is Little Tesoros...


Amanda May, PT

The University of Texas at Austin and Texas Woman’s University at Houston

When Amanda was in middle school, one of her cousins had triplets. One of the girls was diagnosed with cerebral palsy and Amanda had the opportunity to attend several of her physical therapy sessions. She quickly realized that this was the passion she wanted to pursue.

Amanda is certified in Neurodevelopmental Treatment (NDT) and has a special...

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Audrey Huntsinger, COTA

Austin Community College

Audrey came home from work as a secretary one day and was greeted by her best friend, who was in school to be a Physical Therapist Assistant. Her friend said “I’ve found the perfect job for you! Get your degree to be an Occupational Therapy Assistant and you can play all day!”

That was over 25 years ago, and Audrey has been happily working (and playing) as an OTA ever since.

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Bradley Wong, PT, DPT

The University of Texas at San Antonio and Texas State University

Bradley had known that he wanted to be a physical therapist since high school, however, he initially wanted to work with athletes. During college, he shadowed at a pediatric physical therapy clinic which opened his eyes to a completely different field within physical therapy and he was immediately interested.

During physical therapy school, this interest...

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Chelsa Bliskey, MA, CCC-SLP

Texas A&M University and The University of Texas at Austin

Chelsa became a speech pathologist because it combined her love of language and her passion for helping others. After working with adults in a long-term care facility, she transitioned to pediatric therapy.

She has been practicing at Little Tesoros Therapy Services since 2007. Chelsa has a specialized training in the area of feeding and swallowing....

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Christine Hannon, MA, CCC-SLP

The University of Texas at Austin

Christine grew up in Chicago, IL and moved to Texas to attend the University of Texas at Austin, where she received both her bachelor of arts and master’s degree in Speech Language Pathology.

Christine loves being a speech pathologist because she gets to eat, talk, and play with her patients every day!

She enjoys collaborating with parents and families to help their children reach...

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Danyle Tutone, PT, MSPT

University of California San Diego and University of Nevada Las Vegas

Danyle became interested in physical therapy after attending sessions for a knee injury as a teenager.

She developed her passion for working with children after visiting a special needs school program with her aunt who was a school nurse.

Danyle has experience in working with children with a variety of neurological, genetic, and developmental...

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DeeDee Barrera, MA, CCC-SLP

The University of Texas at Austin

Irma “DeeDee” Barrera has been a practicing speech language pathologist for over 25 years and has worked in many settings. She worked for the San Antonio, Laredo, Eanes, and Leander school districts, for the CEDEN Early Childhood Intervention program, for the Brackenridge Hospital out-patient clinic, and as a bilingual clinical supervisor for students in the graduate bilingual speech pathology...

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Jean Brasseaux, PT, DPT

Southeastern Louisiana University and LSU Health Science Center

Jean became a physical therapist after having a knee injury in college and working as a technician at an outpatient clinic. She has a passion for helping others achieve their goals and cheering them on. After working with adults in a long-term care facility and home health, she transitioned to pediatric therapy.

She is certified in Therasuit Method and...

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Joann Ganci, COTA

Austin Community College

In 1984 Joann’s son was born with Cerebral Palsy, Hydrocephalus and cortical blindness. He attended ECI programs for Occupational, Physical and Speech Therapy. It was there that Joann met a wonderful Occupational Therapist that she learned so much from and was mentored by.

Joann has had the joy of working for Little Tesoros since 2002.

Joann’s first passion is to work with the...

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Jocelyn Blitz, PT, DPT

University of St. Augustine for Health Sciences at Austin, Texas

Jocelyn’s interest in pediatric physical therapy started in undergraduate school while she worked as a caregiver for a 9 year old girl with spastic quadriplegia cerebral palsy. She found passion in creating ways to include her in play activities with her siblings and in the community.

Jocelyn joined Little Tesoros in 2018 and has experience working with...

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Julie Donohue, OT

New York University

Julie became an OT because she was always interested in working with people. She discovered she loves helping people overcome obstacles and improve their lives. Julie has been an OT for over 30 years and has worked with all age groups in a variety of settings.

She has gravitated towards pediatrics and loves being able to work closely with families to help them along their journey.

She has...

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Karen Hairston, PT, C/NDT

Texas A&M University and University of Texas Health Science Center

Karen developed a love of children with special needs at a young age by being around her cousin. She has always loved being active, learning about science and helping others so it was a natural fit. Once she was able to help with an adapted PE class in college, she was hooked!

Karen has been a pediatric PT for over 17 years in multiple settings. As a...

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Keeli Machacek, PT, DPT

Texas Woman’s University and Texas A&M University

Keeli became interested in physical therapy after watching talented therapists rehabilitate a friend with a leg amputation. She has many years of experience teaching dance to young children.

After training with the therapists at LTTS, she knew she wanted to be a pediatric physical therapist. Keeli has experience working with children with a variety of diagnoses...

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Kelli Croll, PT, MSPT, C/NDT

The University of Texas at Austin and Texas State University

Physical therapy allows Kelli to help people get back to what they love to do without pain or restriction. Pediatrics is especially fulfilling because it allows her to help teach new skills in a fun environment with an exciting population.

Kelli has worked at Little Tesoros since 2008 and has certifications in Pediatric Neurodevelopmental Treatment (NDT) and...

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Kendall Fritsch, MS, CCC-SLP

Texas A&M University and Texas State University

Inspired by several close family members working in the healthcare field, Kendall knew from an early age that she wanted to help others the way they were. Once she discovered the field of speech-language pathology, she was immediately hooked.

Kendall is Hanen certified (It Takes Two to Talk & More Than Words). Kendall has additional training in PECS.

She is...

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Lauren Lytle, MS, CCC-SLP

The University of Texas at Austin and Texas State University

When Lauren was in high school and trying to decide a career path, she observed both physical and speech therapists here at LTTS. She was so impressed by the love and support they gave the patient and his family, while providing the highest quality of care.

During college, she joined the LTTS family as a clinical therapy tech and worked her way through school...

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Laurie David, PT, C/NDT

Southwest Texas State University

Laurie was introduced to the field of physical therapy in seventh grade when her sister was recovering from knee surgery. While in PT school, she had an opportunity to treat a child, and immediately found her love for pediatric physical therapy.

Laurie is NDT certified and is also certified to teach infant massage. She has particular interest in torticollis, myofascial release,...

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Laurie Streder, MS, CCC-SLP

The University of Texas at Austin and University of North Texas

Laurie previously worked in the secondary public-school setting and pediatric home health setting before joining the Little Tesoros family.

She has a passion for transition and helping patients gain independence and communicative competence to be prepared for a successful future.

Laurie is devoted to providing evidence-based, functional therapy, as...

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Maria Fernanda Quiñones, MS, CF-SLP

The University of Texas at Austin

Maria grew up in Mexico City and moved to Texas when she was a teenager. As she navigated full language immersion and second language acquisition, she realized the importance of communication and found her passion for Speech-Language Pathology. She earned both her bachelor’s and master’s degrees from the University of Texas at Austin.

Maria is dedicated to equipping...

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Marissa Warren, OTR/L

University of St. Augustine for Health Sciences at Austin, Texas

Marissa started with Little Tesoros fresh from her fieldwork training with pediatrics and adult day programs for intellectual disabilities.

She looks forward to continuing education with sensory processing disorders, feeding therapy, NDT, auditory therapy, and handwriting techniques.

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Mary Kay Kemper, OTR

The University of Texas Medical Branch at Galveston

Mary Kay knew she wanted to be an Occupational Therapist when she was a teenager volunteering at a hospital and saw an Occupational Therapist working with a person to regain function after having a stroke.

She has always enjoyed working with children with neurological issues, orthopedic issues, developmental delay and feeding issues.

She is certified in Vital...

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Melissa Dandignac, OTR, MOT, ADHD-RSP

The University of Texas Health Science Center San Antonio

Melissa had the pleasure of shadowing an LTTS OT and PT while in high school, deciding between a career in the education or medical fields. She saw how beautifully OT blends the teaching and caregiver worlds, making the easy decision to pursue OT.

She is certified in Therapeutic Listening and as an ADHD-Rehab Service Provider. She has taken trainings related to...

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Melissa Shiramizu, OTR

University of Puget Sound

Melissa has been a pediatric occupational therapist for over 15 years and still loves the remarkable children she serves and their families. Her objective is to ensure patients are having such a good time that they don't realize they are actually working toward achieving functional goals that will increase their participation in activities across a variety of environments including their home, school,...

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Mindy Li, OTR/L

The University of Texas Medical Branch at Galveston

Mindy first started at Little Tesoros as a rehab tech and then came back to us after she had finished her master’s degree in Occupational Therapy and we are thrilled to have her return. She has a passion for children and wanted to work in the medical field where she could interact with families on a personal level.

She loves her job because she is able to work closely...

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Molly Stuart, OTR

University of Texas Medical Branch at Galveston

Molly has been an occupational therapist for over 30 years. She started her career in adult/pediatric neurological disorders and was team leader on a traumatic brain injury team.

She has a passion for teaching and working out the puzzles of her precious kiddos.

She was an adjunct professor at University of Texas Allied Health Science Center teaching physical...

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Nadine Smith, SLP

State University of New York Albany and San Francisco State University

After spending nearly seven years in the business sector, Nadine decided to change her career and became a speech language pathologist.

She has had the opportunity to work with a variety of children in school and private practice settings. Although she enjoys working with all children, she holds a special place in heart for children who are 2-5 years...


Ryan Bliss, MPT

Texas State, Texas A&M University and University of Texas Medical Branch

Ryan has been working as pediatric physical therapist since 2003 and during that time has experience in early Childhood Intervention as well as home health and public school based services.

He is currently the Motor Therapists Supervisor for Bluebonnet Trails ECI as well as working for Little Tesoros part time.

Ryan has 5 children...

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Sarah Tomlinson, MOT, OTR

Texas Christian University and Virginia Commonwealth University

Sarah became an OT because she is passionate about wanting children with challenges to feel loved and known as they work to develop their skills. She desires to care for families as they support their children. She has a special interest in working with children with ASD, sensory processing challenges and general developmental delays.

She has completed...

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Sheila Beichner, MS, CCC-SLP

Clarion University of Pennsylvania

Sheila became an SLP because she was drawn to how it allowed her to help people and solve problems using creativity. She chose to work in pediatrics because she enjoys coming up with fun ways to help children learn and achieve their goals.

She has experience working with all age groups. Sheila has an interest in helping children acquire functional communication skills using...

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Stephanie Sheehy, MA, CCC-SLP

The University of Texas at El Paso and Washington State University

Stephanie chose to become a speech language pathologist because she believes that every child should have the opportunity to communicate to their fullest potential.

She loves establishing a collaborative relationship with families so they may work together to achieve a child’s communication goals.

Stephanie is Hanen certified and has extensive...