Healthcare Provider Details

I. General information

NPI: 1053974246
Provider Name (Legal Business Name): BABY MOVES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2019
Last Update Date: 04/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

434 CALLE CORAZON
OCEANSIDE CA
92057-8509
US

IV. Provider business mailing address

1604 FORD AVE STE 11
MODESTO CA
95350-4655
US

V. Phone/Fax

Practice location:
  • Phone: 209-840-1624
  • Fax:
Mailing address:
  • Phone: 209-840-1624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: PATIANE FREITAS
Title or Position: CEO
Credential: DPT
Phone: 209-840-1624