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Organization
LITTLE RED WAGON PEDIATRIC THERAPY, LLC
Active
Organization
LITTLE RED WAGON PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELA GOODWIN (OWNER)
(817) 764-3825
Entity
Organization
Contact information
Practice address
4524 BOAT CLUB RD STE 180, FORT WORTH, TX 76135-7025
(817) 764-3825
Mailing address
4524 BOAT CLUB RD STE 180, FORT WORTH, TX 76135-7025
(817) 764-3825
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/30/2015
Last updated
03/26/2024
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