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Organization

MILESTONES & MOVEMENT PEDIATRIC PHYSICAL THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARISSA SLATE PT, DPT, PCS (OWNER/SHAREHOLDER)
(516) 528-5120
Entity
Organization

Contact information

Practice address
206 CALM WATER WAY, SUMMERVILLE, SC 29486-6902
(516) 528-5120
Mailing address
206 CALM WATER WAY, SUMMERVILLE, SC 29486-6902
(516) 528-5120

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary

Other

Enumeration date
07/06/2020
Last updated
07/06/2020
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