Organization
MILESTONES PEDIATRIC THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE ELISSA TARR MPT (OWNER/PHYSICAL THERAPIST)
(815) 712-8915
Entity
Organization
Contact information
Practice address
802 KNOTTINGHAM DR, OTTAWA, IL 61350-4224
(715) 712-8915
(815) 324-9107
Mailing address
802 KNOTTINGHAM DR, OTTAWA, IL 61350-4224
(715) 712-8915
(815) 324-9107
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
070016644
IL
261QP2000X
Physical Therapy Clinic/Center
Primary
070016644
IL
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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