Organization
MILESTONES PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN KAY CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST, OWNER)
(229) 220-1890
Entity
Organization
Contact information
Practice address
519 S SIMS ST, BAINBRIDGE, GA 39819-4159
(229) 220-1890
(706) 223-6778
Mailing address
519 S SIMS ST, BAINBRIDGE, GA 39819-4159
(229) 220-1890
(706) 223-6778
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003211062A
—
GA
Enumeration date
10/20/2018
Last updated
10/20/2018
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