Organization
MILESTONES CHILDREN'S THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY LESIEUR MS CCC SLP (SPEECH-LANGUAGE PATHOLOGIST-OWNER)
(512) 260-3300
Entity
Organization
Contact information
Practice address
1490 E WHITESTONE BLVD, STE 100, CEDAR PARK, TX 78613-2274
(512) 260-3300
(512) 260-3343
Mailing address
1490 E WHITESTONE BLVD, STE 100, CEDAR PARK, TX 78613-2274
(512) 260-3300
(512) 260-3343
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007OHV
BCBS PROVIDER #
TX
01
—
18312-1
PACIFICARE PROVIDER #
TX
01
—
7937419
AETNA PROVIDER #
TX
Enumeration date
03/14/2007
Last updated
08/22/2020
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