Organization
MAGNOLIA REHABILITATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PERINI (PRESIDENT)
(301) 745-8700
Entity
Organization
Contact information
Practice address
1710 UNDERPASS WAY STE 201, HAGERSTOWN, MD 21740-6968
(301) 745-8700
Mailing address
1710 UNDERPASS WAY STE 201, HAGERSTOWN, MD 21740-6968
(301) 745-8700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/27/2013
Last updated
08/25/2015
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