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
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