| NPI | 1972145670 |
|---|---|
| Doing Business As | MINDFUL MOVEMENT THERAPIES |
| Entity Type | Organization |
| Authorized Contact | AUSTEN RAIA LINCOLN Owner 503-720-4634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-10-14 |