Little Red Wagon Pediatric Therapy, LLC
NPI #1831569052 in Fort Worth, Texas
Provider Information
- NPI Number
- 1831569052
- Entity Type
- Organization
- Organization Name
- Little Red Wagon Pediatric Therapy, LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Sep 30, 2015
- Last Updated
- Mar 26, 2024
Practice Location
- Address
- 4524 BOAT CLUB RD STE 180
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76135-7025
- Phone
- (817) 764-3825
Authorized Official
- Name
- GABRIELA GOODWIN
- Title
- OWNER
- Phone
- (817) 764-3825
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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