| NPI | 1063596518 |
|---|---|
| Doing Business As | MAGNOLIA OUTPATIENT REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | NICOLE HOLTON Office Manager 662-243-1097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2011-11-02 |