Healthcare Provider Details

I. General information

NPI: 1497802235
Provider Name (Legal Business Name): CHILDREN IN MOTION,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4066 PARK AVE
MIAMI FL
33133-6352
US

IV. Provider business mailing address

4066 PARK AVE
MIAMI FL
33133-6352
US

V. Phone/Fax

Practice location:
  • Phone: 786-218-3344
  • Fax: 305-668-8917
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT6218
License Number StateFL

VIII. Authorized Official

Name: KATHERINE WOLINSKY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 786-218-3344