Healthcare Provider Details

I. General information

NPI: 1437249687
Provider Name (Legal Business Name): MILESTONES PHYSICAL THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4032 BELLE RIDGE DR
DRYDEN MI
48428-9387
US

IV. Provider business mailing address

4032 BELLE RIDGE DR
DRYDEN MI
48428-9387
US

V. Phone/Fax

Practice location:
  • Phone: 810-614-0450
  • Fax:
Mailing address:
  • Phone: 810-614-0450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MARYANN RUFFINO
Title or Position: PRESIDENT/OWNER
Credential: M.P.T.
Phone: 810-614-0450