Organization
MILESTONES ASSISTIVE THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN PIERCE TIBBS OTR/L (PRESIDENT)
(248) 789-0232
Entity
Organization
Contact information
Practice address
30170 WOODGATE DR, SOUTHFIELD, MI 48076-5379
(248) 789-0232
Mailing address
30170 WOODGATE DR, SOUTHFIELD, MI 48076-5379
(248) 789-0232
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
5201002048
MI
283XC2000X
Children's Rehabilitation Hospital
5201002048
MI
Other
Enumeration date
04/12/2012
Last updated
04/05/2015
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