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Organization
MAGNOLIA REHAB SERVICES
Active
Organization
MAGNOLIA REHAB SERVICES
Active
Parent organization
MAGNOLIA REHAB SERVICES
Other names
Magnolia Pediatric Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAGNOLIA REHAB SERVICES
Authorized official
MARY C NIX MS, CCC-SLP (CLINIC DIRECTOR)
(850) 226-8279
Entity
Organization
Contact information
Practice address
803 N WILSON ST, CRESTVIEW, FL 32536-2639
(850) 226-8279
(850) 226-8326
Mailing address
803 N WILSON ST, CRESTVIEW, FL 32536-2639
(850) 226-8279
(850) 226-8326
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
09/29/2022
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