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Organization
MILESTONE PHYSICAL THERAPY INC
Active
Organization
MILESTONE PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLIE TANJOCO MPT (OWNER)
(916) 206-3612
Entity
Organization
Contact information
Practice address
140 DIAMOND CREEK PL STE 125, ROSEVILLE, CA 95747-7188
(916) 206-3612
Mailing address
140 DIAMOND CREEK PL STE 125, ROSEVILLE, CA 95747-6654
(916) 206-3612
(916) 596-4062
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
225100000X
Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
03/22/2021
Last updated
01/22/2026
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