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Organization
LITTLE TREE PEDIATRIC THERAPY
Active
Organization
LITTLE TREE PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSIE FITZGERALD M.S. CCC-SLP (OWNER)
(336) 926-0333
Entity
Organization
Contact information
Practice address
115 LINBROOK DR, WINSTON SALEM, NC 27106-4538
(336) 774-3824
(336) 774-6579
Mailing address
115 LINBROOK DR, WINSTON SALEM, NC 27106-4538
(336) 774-3824
(336) 774-6579
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7044
NC
Other
Enumeration date
03/04/2008
Last updated
01/21/2010
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