Organization
MILESTONES CHILD
Active
Organization
MILESTONES CHILD
Active
Parent organization
MILESTONES CHILD
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILESTONES CHILD
Authorized official
STACEY LESIEUR (OWNER)
(512) 260-3300
Entity
Organization
Contact information
Practice address
1490 E WHITESTONE BLVD, BUILDING 2, SUITE 100, CEDAR PARK, TX 78613-2274
(512) 260-3300
Mailing address
1490 E WHITESTONE BLVD, BUILDING 2, SUITE 100, CEDAR PARK, TX 78613-2274
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T7236
BCBSTX
TX
Enumeration date
07/10/2007
Last updated
07/11/2007
Update your record
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