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MAGNOLIA REHAB SERVICES NPI 1235457052


NPI Information

NPI: 1235457052
Provider Name: MAGNOLIA REHAB SERVICES

Doing Business As: MAGNOLIA PEDIATRIC THERAPY

Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
1200 CROSSWINDS LNDG
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 226-8279
Get Directions

MAGNOLIA REHAB SERVICES is a speech language pathologist in Fort Walton Beach, FL. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. MAGNOLIA REHAB SERVICES NPI is 1235457052. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Magnolia Pediatric Therapy.

The provider's business location address is:

1200 CROSSWINDS LNDG
FORT WALTON BEACH, FL
ZIP 32547-174
Phone: (850) 226-8279
Fax: (850) 226-8326

The provider's authorized official is Mary C Nix .
The authorized official title is Clinic Director and has the following contact phone number (850) 226-8279.

The enumeration date for this NPI number is 5/5/2010 and was last updated on 6/28/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language PathologistSA 7938FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1002827600MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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