MEDICARE: LAUREN K MILOVITCH-SERA DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	10163	MN

General Provider Information

NPI Number	:	1033582259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN K MILOVITCH-SERA DPT

Provider Business Mailing Address
First Line	:	2251 CONNECTICUT AVE S
Second Line	:	SUITE 3600
City	:	SARTELL
State	:	MN
Zip	:	56377-2486
Country	:	US
Telephone Number	:	320-529-0036
Fax Number	:

Provider Business Practice Location Address
First Line	:	OPTIMUM THERAPIES OF NORTH DAKOTA. INC
Second Line	:	4204 BOULDER RIDGE RD, SUITE 100
City	:	BISMARK
State	:	ND
Zip	:	58503-6162
Country	:	US
Telephone Number	:	701-751-3064
Fax Number	:	701-751-2265

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2015
Last Update Date	:	09/14/2023

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