Organization
WISH UPON A STAR PEDIATRIC THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA FARROW (OCCUPATIONAL THERAPIST)
(254) 718-1117
Entity
Organization
Contact information
Practice address
13215 RAMPART ST, AUSTIN, TX 78727-3255
(512) 843-1453
Mailing address
13215 RAMPART ST, AUSTIN, TX 78727-3255
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
02/19/2024
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