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Organization

MAGNOLIA PEDIATRIC THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KERRY ANNE O'ROURKE OTR/L (OWNER)
(704) 618-4141
Entity
Organization

Contact information

Practice address
10307 SERENITY SOUND, MAGNOLIA, TX 77354-3238
(704) 618-4141
Mailing address
10307 SERENITY SOUND, MAGNOLIA, TX 77354-3238

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary

Other

Enumeration date
03/04/2020
Last updated
06/03/2020
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