Organization
SWEETHOME MILESTONES THERAPY SERVICES,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW MATEBEJANA MASHALA OTR/L (PRESIDENT)
(574) 293-9907
Entity
Organization
Contact information
Practice address
56836 MEADOWOOD DR, ELKHART, IN 46516-5838
(574) 523-1418
(574) 293-9908
Mailing address
56836 MEADOWOOD DR, ELKHART, IN 46516-5838
(574) 523-1418
(574) 293-9908
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31002483A
IN
Other
Enumeration date
10/28/2006
Last updated
08/22/2020
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