| NPI | 1881092674 |
|---|---|
| Other Name | KIDMOTION |
| Entity Type | Organization |
| Authorized Contact | BRENDA CHILSTROM Owner 239-595-7018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL 9691) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |