MEDICARE: WIGGLE WORMS PEDIATRIC THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1033061866
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WIGGLE WORMS PEDIATRIC THERAPY LLC

Provider Business Mailing Address
First Line	:	1207 ETHRIDGE MILL RD
Second Line	:
City	:	GRIFFIN
State	:	GA
Zip	:	30224-5201
Country	:	US
Telephone Number	:	678-923-7581
Fax Number	:

Provider Business Practice Location Address
First Line	:	1207 ETHRIDGE MILL RD
Second Line	:
City	:	GRIFFIN
State	:	GA
Zip	:	30224-5201
Country	:	US
Telephone Number	:	678-923-7581
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ADRIANNE FRITSCHE
Credential	:	CCC-SLP
Telephone Number	:	678-923-7581

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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Directions to “WIGGLE WORMS PEDIATRIC THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

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