Organization
MILESTONE MAKERS INC
Active
Organization
MILESTONE MAKERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NELL P DEVORE MHS, OTR/L (OWNER)
(678) 662-5947
Entity
Organization
Contact information
Practice address
930 BROOKLINE WAY, ALPHARETTA, GA 30022-3745
(678) 662-5947
Mailing address
930 BROOKLINE WAY, ALPHARETTA, GA 30022-3745
(678) 662-5947
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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