Magnolia Pediatric Therapy
NPI #1952533002 in Panama City, Florida
Provider Information
- NPI Number
- 1952533002
- Entity Type
- Organization
- Organization Name
- Magnolia Pediatric Therapy
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Aug 21, 2009
- Last Updated
- Aug 21, 2009
Practice Location
- Address
- 340 W 23RD ST
- Address 2
- SUITE H
- City
- Panama City
- State
- Florida
- ZIP Code
- 32405-7600
- Phone
- (850) 215-3911
Authorized Official
- Name
- GARY GAULT
- Title
- OWNER
- Phone
- (678) 571-0033
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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