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Organization

MILESTONES CHILDREN'S THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. HOLLY TENNANT (OWNER)
(760) 740-0055
Entity
Organization

Contact information

Practice address
1785 S ESCONDIDO BLVD STE A, ESCONDIDO, CA 92025-6573
(760) 740-0055
Mailing address
1785 S ESCONDIDO BLVD STE A, ESCONDIDO, CA 92025-6573
(760) 740-0055

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
106H00000X
Marriage & Family Therapist
2251P0200X
Pediatric Physical Therapist
225XP0200X
Pediatric Occupational Therapist
Primary
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
12/23/2009
Last updated
12/23/2009
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