| NPI | 1558032516 |
|---|---|
| Former Legal Business Name | KIDS IN MOTION THERAPY CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | JUDITH DIAZ President 786-865-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2021-09-21 |