| NPI | 1902118540 |
|---|---|
| Doing Business As | MAGNOLIA PEDIATRIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | CAITLIN CALLOWAY Owner 678-361-3491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 9011) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2022-09-29 |