| NPI | 1790347896 |
|---|---|
| Doing Business As | MAGNOLIA PEDIATRIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | MARY C NIX Clinic Director 850-226-8279 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2022-09-29 |