Organization
MILESTONE THERAPY, LLC
Active
Organization
MILESTONE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN EASTBURN SURDI P,T. (PHYSICAL THERAPIST / OWNER)
(985) 774-9082
Entity
Organization
Contact information
Practice address
6 SIEBENKITTEL CIR, SUITE G, CARRIERE, MS 39426-8777
(601) 799-4065
(601) 799-4064
Mailing address
PO BOX 265, TALLEVAST, FL 34270-0265
(985) 774-9082
(601) 799-4064
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT4582
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04037825
—
MS
Enumeration date
11/10/2009
Last updated
06/27/2013
Update your record
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