Organization
MAGNOLIA OUTPATIENT PHYSICAL THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ED SEDACCA (PRESIDENT)
(214) 557-1074
Entity
Organization
Contact information
Practice address
24 MARTIN LN, BELFAST, ME 04915-6099
(207) 930-7037
Mailing address
24 MARTIN LN, BELFAST, ME 04915-6099
(214) 828-6146
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
10/18/2023
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