Milestones Therapy Services Inc

Organization Active NPI Occupational Therapist · College Park, GA

NPI 1811052178 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1811052178
Entity type
Organization (NPI type 2)
Primary specialty
Occupational Therapist 225X00000X
License
OT002185 (GA)
Legal business name
MILESTONES THERAPY SERVICES INC
Practice address
2780 Lantern LN
College Park, GA 30349-3860
Phone
(770) 996-7213
Fax
(770) 996-7213
NPI assigned
Dec 27, 2006
Organization subpart
No

Authorized official

Name
Ms. Keisha Russell
Title
President Manager
Phone
(770) 996-7213

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225X00000X OT002185 GA Yes

Addresses

Primary practice location

2780 Lantern LN
College Park, GA 30349-3860

Mailing address

2780 Lantern LN
College Park, GA 30349-3860
Phone (770) 996-7213

Other identifiers

IdentifierTypeStateIssuer
00739318CMedicaidGA

Other providers in College Park, GA

All providers in College Park, GA · Occupational Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.