Provider Demographics
NPI:1700672433
Name:PALMETTO MILESTONES THERAPY
Entity type:Organization
Organization Name:PALMETTO MILESTONES THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEFANIE
Authorized Official - Middle Name:MEGHAN
Authorized Official - Last Name:BONNEMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-943-5311
Mailing Address - Street 1:349 FENWICK DR
Mailing Address - Street 2:
Mailing Address - City:WOODRUFF
Mailing Address - State:SC
Mailing Address - Zip Code:29388-8047
Mailing Address - Country:US
Mailing Address - Phone:678-943-5311
Mailing Address - Fax:
Practice Address - Street 1:349 FENWICK DR
Practice Address - Street 2:
Practice Address - City:WOODRUFF
Practice Address - State:SC
Practice Address - Zip Code:29388-8047
Practice Address - Country:US
Practice Address - Phone:678-943-5311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine