| NPI | 1437867421 |
|---|---|
| Doing Business As | MAGNOLIA PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | RUSSELL T GREEN Owner 281-356-8645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2022-11-09 |