Magnolia Neuro Rehab, LLC
NPI #1194441147 in Huntsville, Alabama
Provider Information
- NPI Number
- 1194441147
- Entity Type
- Organization
- Organization Name
- Magnolia Neuro Rehab, LLC
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Oct 12, 2022
- Last Updated
- Apr 17, 2023
Practice Location
- Address
- 525 FOUNTAIN ROW SW
- City
- Huntsville
- State
- Alabama
- ZIP Code
- 35801-4335
- Phone
- (256) 513-9444
Authorized Official
- Name
- KELLEY E PACILLO, OTR/L
- Title
- OWNER/THERAPIST
- Phone
- (256) 520-8306
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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