MAGNOLIA PEDIATRIC THERAPY, LLC

LAKE CHARLES, LA
NPI1346690740
Entity TypeOrganization
Authorized ContactMEGAN MUSSO
Manager/Owner
337-419-0086
Organization Subpart ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: LA  7129)
Additional Taxonomies261QH0700X Clinic/Center, Hearing and Speech
Enumeration Date2016-06-16
Last Update Date2023-03-22
Business Address
MAGNOLIA PEDIATRIC THERAPY, LLC
3501 5TH AVE STE A
LAKE CHARLES, LA 70607-2155
Phone number: 337-419-0086
Mailing Address
MAGNOLIA PEDIATRIC THERAPY, LLC
3501 5TH AVE STE A
LAKE CHARLES, LA 70607-2155
Phone number: 337-419-0086