Organization
MAGNOLIA REHAB COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A PARKER II (SECRETARY)
(601) 783-9840
Entity
Organization
Contact information
Practice address
335 E BAY ST, MAGNOLIA, MS 39652-2815
(601) 783-9840
(601) 783-9040
Mailing address
335 E BAY ST, MAGNOLIA, MS 39652-2815
(601) 783-9840
(601) 783-9040
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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