Organization
MILESTONES PEDIATRIC THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANITA K RUSSELL PT, DPT (CO-OWNER)
(870) 612-0654
Entity
Organization
Contact information
Practice address
2800 S. 2ND ST., SUITE B, CABOT, AR 72023
(501) 286-6075
(501) 286-6175
Mailing address
2800 S. 2ND ST., SUITE B, CABOT, AR 72023
(501) 286-6075
(501) 286-6175
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/12/2015
Last updated
10/10/2024
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