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NPI Code Detail

MEDICARE: GROWING MILESTONES PEDIATRIC THERAPY LLC

MEDICARE: GROWING MILESTONES PEDIATRIC THERAPY LLC
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
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1245098383
Entity Type Code : Organization
Provider Name (Legal Business Name) : GROWING MILESTONES PEDIATRIC THERAPY LLC
Provider Business Mailing Address
First Line : 1220 HUDSON ST APT 427
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-5425
Country : US
Telephone Number : 646-683-6557
Fax Number :
Provider Business Practice Location Address
First Line : 84 WASHINGTON ST STE 2
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-7504
Country : US
Telephone Number : 646-683-6557
Fax Number :
Authorized Official
Title or Position : OCCUPATIONAL THERAPIST
Name : ANABELLA MOSTOSLAVSKY
Credential :
Telephone Number : 646-683-6557
Provider Enumeration Date : 03/12/2024
Last Update Date : 03/12/2024

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Directions to “GROWING MILESTONES PEDIATRIC THERAPY LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.