Organization
KIDS IN MOTION THERAPY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERWIN CASTILLO (PRESIDENT)
(412) 444-5347
Entity
Organization
Contact information
Practice address
4152 MERIDIAN ST STE 105, PMB 17, BELLINGHAM, WA 98226-5589
(412) 444-5437
Mailing address
4152 MERIDIAN STREET, SUITE 105, PMB 17, BELLINGHAM, WA 98226
(412) 444-5437
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
603307514
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2054712
—
WA
Enumeration date
10/26/2016
Last updated
10/26/2016
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