Organization
BLUE RIDGE PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA QUAVE MILEY CCC-SLP (SPEECH LANGUAGE PATHOLOGY)
(985) 502-3101
Entity
Organization
Contact information
Practice address
46 WINDANCE DR, CARRIERE, MS 39426-7947
(985) 502-3101
Mailing address
46 WINDANCE DR, CARRIERE, MS 39426-7947
(985) 502-3101
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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