| NPI | 1245005222 | 
|---|---|
| Doing Business As | MAGNOLIA KIDS THERAPY | 
| Entity Type | Organization | 
| Authorized Contact | ANDREA JONES PT/Owner 662-322-0980  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist | 
| Additional Taxonomies | 225X00000X Occupational Therapist | 
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-11-20 | 
| Last Update Date | 2024-06-19 |