Organization
MILESTONE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN A HIGHAM CERTIFIED OTA (OCCUPATIONAL THERAPY ASSISTANT)
(618) 558-0814
Entity
Organization
Contact information
Practice address
11531 SWINFORD LN, MOKENA, IL 60448-9274
(219) 229-0322
Mailing address
1470 SCHWARZ MEADOW DR, O FALLON, IL 62269-6709
(618) 558-0814
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
057003767
IL
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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