Organization
KIDMOTION BRENDA CHILSTROM PEDIATRIC OCCUPATIONAL THERAPIST LLC
Active
Other names
KidMotion
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA CHILSTROM OTRL (OCCUPATIONAL THERAPIST)
(239) 595-7018
Entity
Organization
Contact information
Practice address
102 PEBBLE SHORES DRIVE, #202, NAPLES, FL 34110
(239) 595-7018
(239) 597-3287
Mailing address
PO BOX 111896, NAPLES, FL 34108
(239) 595-7018
(239) 597-3287
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT9691
FL
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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