| NPI | 1366638975 |
|---|---|
| Other Name | KIDMOTION |
| Entity Type | Organization |
| Authorized Contact | BRENDA CHILSTROM Occupational Therapist 239-595-7018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT9691) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |