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Organization

MILEMARKERS THERAPY

Active
Parent organization
MILEMARKERS THERAPY INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MILEMARKERS THERAPY INC
Authorized official
MRS. COLLEEN MCSHEA SLP (PRESIDENT-OWNER)
(928) 854-5439
Entity
Organization

Contact information

Practice address
5601 HIGHWAY 95 N STE 308C5601, LAKE HAVASU CITY, AZ 86404-8536
(928) 854-5439
(928) 854-5440
Mailing address
5601 HIGHWAY 95 N STE 308C, LAKE HAVASU CITY, AZ 86404-8546
(928) 854-5439
(928) 854-5440

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
235Z00000X
Speech-Language Pathologist
Primary
SLP4317
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
819797
AZ
Enumeration date
10/12/2016
Last updated
10/18/2024
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