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General NPI Number Information
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NPI Number | 1407099542
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Entity Type | Organization
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Legal Business Name | KIDS IN MOTION THERAPY SERVICES, INC.
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Dates
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Enumeration Date | 04/18/2009
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Last Update Date | 07/31/2011
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Provider Practice Location Address
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Address Line | 4501 MANATEE AVE W
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City | BRADENTON
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State | FL
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Zip | 34209-3952
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Country | US
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Telephone | 941-524-6773
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Fax |
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Provider Business Mailing Address
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Address Line | 4501 MANATEE AVE W
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City | BRADENTON
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State | FL
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Zip | 34209-3952
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Country | US
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Telephone | 941-741-3300
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/ OCCUPATIONAL THERAPIST
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Name | MRS. GINA CHRISTINE PEREA
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Credential | PEREA
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Telephone | 941-524-6773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT 5137
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225XE0001X
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Taxonomy Name | Environmental Modification Occupational Therapist
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License Number | OT 5137
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 225XF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapist
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License Number | OT 5137
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 225XG0600X
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Taxonomy Name | Gerontology Occupational Therapist
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License Number | OT 5137
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 225XL0004X
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Taxonomy Name | Low Vision Occupational Therapist
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License Number | OT 5137
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number | OT 5137
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | OT 5137
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT 5137
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License Number State | FL
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