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Organization
MAGNOLIA REHAB SERVICES
Active
Organization
MAGNOLIA REHAB SERVICES
Active
Other names
Magnolia Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLIN CALLOWAY (OWNER)
(678) 361-3491
Entity
Organization
Contact information
Practice address
151 REGIONS WAY STE 2A, DESTIN, FL 32541-5107
(850) 424-5469
(850) 424-5592
Mailing address
151 REGIONS WAY STE 2A, DESTIN, FL 32541-5107
(850) 424-5469
(850) 424-5592
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SA 9011
FL
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/12/2010
Last updated
09/29/2022
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