Organization
CHILDREN'S MILESTONE INC
Active
Other names
Dupont Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ABIGAIL BUENCONSEJO OTR (PRESIDENT)
(260) 497-0838
Entity
Organization
Contact information
Practice address
2872 E DUPONT RD, FORT WAYNE, IN 46825-1669
(260) 497-0838
(260) 497-9088
Mailing address
2872 E DUPONT RD, FORT WAYNE, IN 46825-1669
(260) 497-0838
(260) 497-9088
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
01/12/2007
Last updated
03/05/2008
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