Provider Demographics
NPI:1164864740
Name:MILASH, LAUREN DANIELLE (PTA)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:DANIELLE
Last Name:MILASH
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:DANIELLE
Other - Last Name:SHARP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:501 DUTCHMANS LANE
Mailing Address - Street 2:REHAB. DEPT.
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601
Mailing Address - Country:US
Mailing Address - Phone:410-822-8888
Mailing Address - Fax:
Practice Address - Street 1:501 DUTCHMANS LANE
Practice Address - Street 2:REHAB. DEPT.
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601
Practice Address - Country:US
Practice Address - Phone:410-822-8888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-23
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA3968225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant