Organization
THRIVING MILESTONES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIERRA HOLMES OTR/L (OCCUPATIONAL THERAPIST)
(414) 588-4339
Entity
Organization
Contact information
Practice address
686 STARK ST, LAWRENCEVILLE, GA 30046-4969
(678) 631-9861
Mailing address
686 STARK ST, LAWRENCEVILLE, GA 30046-4969
(678) 631-9861
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
03/21/2023
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