Magnolia Rehab Services

Speech-Language Pathologist · Crestview, FL

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At a glance

803 N Wilson St, Crestview, FL 32536-2639

NPPES record updated Sep 29, 2022. Public records can lag behind changes at a practice.

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Practice location

803 N Wilson St
Crestview, FL 32536-2639
Professional details: NPI, taxonomy & registry record
NPI1790347896
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Registry details

Primary taxonomy
Speech-Language Pathologist
Taxonomy code
235Z00000X
Enumeration date
Jun 28, 2019
Record updated
Sep 29, 2022
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Speech-Language Pathologist

235Z00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

803 N Wilson St
Crestview, FL 32536-2639
Phone
(850) 226-8279
Fax
(850) 226-8326
Mailing address
803 N WILSON ST

CRESTVIEW, FL 325362639
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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