| Organization Name: | MILESTONES PHYSICAL THERAPY, LLC |
| NPI Number: | 1255664272 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SANDRA KAY MISHIC (PHYSICAL THERAPIST) |
| Mailing Address: | 39 Midway Rd Kane |
| State: | PA US |
| Postal Code: | 167354429 |
| Phone Number: | 8145986422 |
| Fax Number: | 8148376237 |
| NPI Enumeration Date: | 09/09/2009 |
| NPI Last Update Date: | 09/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | PT013931L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |