Organization
MILESTONE MASTERS PEDIATRIC THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAUREN MICHELLE LYONS M. ED., CCC-SLP (PRESIDENT)
(703) 509-6109
Entity
Organization
Contact information
Practice address
3543 EWELL ST, ANNANDALE, VA 22003-1708
(703) 509-6109
Mailing address
3543 EWELL ST, ANNANDALE, VA 22003-1708
(703) 509-6109
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
10/16/2023
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