Organization
LITTLE VICTORIES PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA HENRY GOGGINS CCC-SLP (SPEECH- LANGUAGE PATHOLOGIST)
(334) 830-8493
Entity
Organization
Contact information
Practice address
8909 RAND AVE, DAPHNE, AL 36526-9126
(334) 830-8493
Mailing address
18782 OUTLOOK DR, LOXLEY, AL 36551-3610
(334) 830-8493
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219155
—
AL
Enumeration date
04/07/2022
Last updated
04/07/2022
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