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Organization

MILESTONES PLAY GYM & PEDIATRIC THERAPY LLC

Active
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Organization

MILESTONES PLAY GYM & PEDIATRIC THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA SHIPMAN (OWNER)
(540) 569-9820
Entity
Organization

Contact information

Practice address
1329 ALUM SPRING RD STE 101, FREDERICKSBURG, VA 22401-8011
(540) 569-9820
Mailing address
1329 ALUM SPRING RD STE 101, FREDERICKSBURG, VA 22401-8011
(540) 569-9820

Taxonomy

Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
208100000X
Physical Medicine & Rehabilitation Physician
224Z00000X
Occupational Therapy Assistant
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
225400000X
Rehabilitation Practitioner
Primary
225A00000X
Music Therapist
225X00000X
Occupational Therapist
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
225XP0200X
Pediatric Occupational Therapist
2355S0801X
Speech-Language Assistant
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
05/11/2024
Last updated
11/05/2025
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