| Magnolia Pediatric Therapy, Llc | |
|
239 Clark Farms Rd, Madison, MS 39110-8115 | |
| (601) 519-8930 | |
| Not Available |
| Full Name | Magnolia Pediatric Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 239 Clark Farms Rd, Madison, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689176323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT1767 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Pediatric Therapy, Llc 239 Clark Farms Rd, Madison, MS 39110-8115 Ph: (601) 519-8930 | Magnolia Pediatric Therapy, Llc 239 Clark Farms Rd, Madison, MS 39110-8115 Ph: (601) 519-8930 |
Jennifer Ros Craig, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7712 Old Canton Rd, Madison, MS 39110 Phone: 601-427-5775 Fax: 601-206-0668 | |
Donna Saxton Harris, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Lexington Dr Ste H, Madison, MS 39110 Phone: 601-910-7300 Fax: 601-910-7071 | |
Kelli Colley, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7712 Old Canton Rd, Madison, MS 39110 Phone: 601-427-5775 | |
Mr. Robert James Mosley Jr., OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 Lake Cir, Madison, MS 39110 Phone: 769-232-0719 | |
Morgan Lindsey Burnett, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7712 Old Canton Rd, Suite 2, Madison, MS 39110 Phone: 601-427-5775 | |
Mrs. Feshondra Fereca Mone Tripp, MOTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 105 Lexington Dr Ste H, Madison, MS 39110 Phone: 601-910-7300 Fax: 601-910-7071 | |
Megan P Ladner, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7712 Old Canton Rd Ste B, Madison, MS 39110 Phone: 601-427-5775 Fax: 601-206-0668 |