Magnolia Rehab Services

NPI #1790347896 in Crestview, Florida

Provider Information

NPI Number: 1790347896
Entity Type: Organization
Organization Name: Magnolia Rehab Services
Subpart: Yes (part of a larger organization)
Parent Organization: MAGNOLIA REHAB SERVICES
Primary Specialty: Speech-Language Pathologist
Enumeration Date: Jun 28, 2019
Last Updated: Sep 29, 2022

Practice Location

Address: 803 N WILSON ST
City: Crestview
State: Florida
ZIP Code: 32536-2639
Phone: (850) 226-8279

Authorized Official

Name: MARY C NIX, MS, CCC-SLP
Title: CLINIC DIRECTOR
Phone: (850) 226-8279

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X	Primary

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