Magnolia Pediatric Therapy
Magnolia Pediatric Therapy is an Early Intervention Provider Agency in Panama City, Florida. Licensed in Florida. Registered with an NPI since 2009.
- Licensed in
- FL
- In the registry since
- 2009
Practice location Address checks out
340 W 23rd St Ste HPanama City, FL 32405-7600
Phone: (850) 215-3911
Fax: (850) 215-3914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X · Licence SZ4644 (FL) |
|---|
Record details
| NPI number | 1427281757 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gary Gaunt — Supervisor · (678) 571-0033 |
| NPI enumerated | September 3, 2009 |
| Last updated in NPPES | September 3, 2009 |
| Mailing address | 340 W 23rd St, Suite H, Panama City, FL 32405-7600 |