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 |