# KIDS IN MOTION THERAPY CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053863035
- **Authorized official:** ERWIN CASTILLO (PRESIDENT)
- **Authorized official phone:** (412) 444-5347

## Contact information

- **Practice address:** 4152 MERIDIAN ST STE 105, PMB 17, BELLINGHAM, WA 98226-5589
- **Practice address phone:** (412) 444-5437
- **Mailing address:** 4152 MERIDIAN STREET, SUITE 105, PMB 17, BELLINGHAM, WA 98226
- **Mailing address phone:** (412) 444-5437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 603307514 | WA | Yes |

## Other

- **Enumeration date:** 10/26/2016
- **Last updated:** 10/26/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2054712 | — | WA |