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General NPI Number Information
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NPI Number | 1497802235
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Entity Type | Organization
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Legal Business Name | CHILDREN IN MOTION,LLC
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4066 PARK AVE
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City | MIAMI
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State | FL
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Zip | 33133-6352
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Country | US
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Telephone | 786-218-3344
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Fax | 305-668-8917
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Provider Business Mailing Address
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Address Line | 4066 PARK AVE
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City | MIAMI
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State | FL
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Zip | 33133-6352
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KATHERINE WOLINSKY
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Credential |
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Telephone | 786-218-3344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT6218
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License Number State | FL
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