Organization
MAJESTIC MILESTONES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICAELA WILSON (OWNER)
(318) 267-8667
Entity
Organization
Contact information
Practice address
410 PEARL STREET, COLUMBIA, LA 71418
(318) 267-8667
Mailing address
PO BOX 1653, COLUMBIA, LA 71418-1653
(318) 267-8667
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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