Magnolia Pediatric Therapy, LLC
NPI #1346690740 in Lake Charles, Louisiana
Provider Information
- NPI Number
- 1346690740
- Entity Type
- Organization
- Organization Name
- Magnolia Pediatric Therapy, LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jun 16, 2016
- Last Updated
- Mar 22, 2023
Practice Location
- Address
- 3501 5TH AVE STE A
- City
- Lake Charles
- State
- Louisiana
- ZIP Code
- 70607-2155
- Phone
- (337) 419-0086
Authorized Official
- Name
- MEGAN MUSSO, M.A., CCC-SLP
- Title
- MANAGER/OWNER
- Phone
- (337) 419-0086
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Hearing and Speech — Hearing and Speech |
| Speech-Language Pathologist |
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