Organization
MILESTONES PEDIATRICTHERAPY ,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNN ANN AMELL OTR (CHIEF EXECUTIVE OFFICER)
(315) 788-5377
Entity
Organization
Contact information
Practice address
16783 IVES STREET EXT, WATERTOWN, NY 13601-5312
(315) 788-5377
Mailing address
16783 IVES STREET EXT, WATERTOWN, NY 13601-5312
(315) 788-5377
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
01/26/2007
Last updated
08/22/2020
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