| NPI | 1710158910 |
|---|---|
| Doing Business As | RED WAGON CHILDREN'S THERAPY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER JO GLOVER Occupational Therapist/Owner 512-680-6782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-03-14 |