Provider Demographics
NPI:1265836589
Name:MILESTONE, DARA (OTR)
Entity Type:Individual
Prefix:
First Name:DARA
Middle Name:
Last Name:MILESTONE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10275 COLLINS AVE
Mailing Address - Street 2:925
Mailing Address - City:BAL HARBOUR
Mailing Address - State:FL
Mailing Address - Zip Code:33154-1417
Mailing Address - Country:US
Mailing Address - Phone:954-260-7771
Mailing Address - Fax:
Practice Address - Street 1:10275 COLLINS AVE
Practice Address - Street 2:925
Practice Address - City:BAL HARBOUR
Practice Address - State:FL
Practice Address - Zip Code:33154-1417
Practice Address - Country:US
Practice Address - Phone:954-260-7771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-15
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL16556225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist