| Organization Name: | MILESTONE THERAPY, LLC |
| NPI Number: | 1194052290 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAREN EASTBURN SURDI (PHYSICAL THERAPIST / OWNER) |
| Mailing Address: | 6 Siebenkittel Cir Suite G Carriere |
| State: | MS US |
| Postal Code: | 394268777 |
| Phone Number: | 6017994065 |
| Fax Number: | 6017994064 |
| NPI Enumeration Date: | 11/10/2009 |
| NPI Last Update Date: | 06/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | PT4582 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |