Organization
MILESTONES PHYSICAL THERAPY, INC.
Active
Other names
Milestones
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDY ALTIZER PT (PRESIDENT)
(304) 562-1674
Entity
Organization
Contact information
Practice address
179 STATION PLACE WAY, HURRICANE, WV 25526-8747
(304) 760-6300
(304) 201-5123
Mailing address
PO BOX 450, SCOTT DEPOT, WV 25560-0450
(304) 760-6300
(304) 201-5123
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT001337
WV
225X00000X
Occupational Therapist
1239
WV
235Z00000X
Speech-Language Pathologist
SLP-0535
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001934713
BLUE CROSS BLUE SHIELD
WV
05
—
3810008163
—
WV
Enumeration date
02/20/2007
Last updated
04/27/2009
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