Provider Demographics
NPI:1043463516
Name:MILOT, WENDY LAINE (MS OTR/L)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:LAINE
Last Name:MILOT
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 PARSONS ST
Mailing Address - Street 2:#2
Mailing Address - City:WEST NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02465-2135
Mailing Address - Country:US
Mailing Address - Phone:781-572-8388
Mailing Address - Fax:
Practice Address - Street 1:33 PARSONS ST
Practice Address - Street 2:#2
Practice Address - City:WEST NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02465-2135
Practice Address - Country:US
Practice Address - Phone:781-572-8388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9046174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist