Organization
PEDIATRICS IN MOTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA J BRADEN OTR/L (OCCUPATIONAL THERAPIST)
(262) 206-1567
Entity
Organization
Contact information
Practice address
36550 N HUNT CLUB RD, SUITE PFP, GURNEE, IL 60031-1633
(262) 206-1567
(262) 248-9479
Mailing address
PO BOX 306, WADSWORTH, IL 60083-0306
(262) 206-1567
(262) 248-9479
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
IL
225XP0200X
Pediatric Occupational Therapist
Primary
—
IL
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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