Magnolia Pediatric Therapy

LBN: Magnolia Rehab Services
Magnolia Pediatric Therapy is an health care organization with primary practice located at 803 N Wilson St , Crestview FL 32536-2639. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Magnolia Rehab Services can be contacted via phone (850) 226-8279, or through Nix, Mary C via phone (850) 226-8279.

Contact Information

Primary practice address
803 N Wilson St Crestview FL 32536-2639
Phone: (850) 226-8279
Fax: (850) 226-8326
Website:
Map and Directions
Authorized official contact:
Name: Nix, Mary C MS, CCC-SLP
Phone: (850) 226-8279

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1790347896
LBN Legal business name Magnolia Rehab Services
DBA Doing business as Magnolia Pediatric Therapy
Authorized official Nix, Mary C MS, CCC-SLP
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 28th, 2019
Last updated Sep 29th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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