| NPI | 1235457052 |
|---|---|
| Doing Business As | MAGNOLIA PEDIATRIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | MARY C NIX Clinic Director 850-226-8279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA 7938) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2022-09-29 |