Organization
KIDS ON THE MOVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY DEONNE JEANNERET OTR (MEMBER, OCCUPATIONAL THERAPIST)
(970) 590-7678
Entity
Organization
Contact information
Practice address
1296 MAIN ST UNIT C, WINDSOR, CO 80550-7903
(970) 590-7678
Mailing address
1296 MAIN ST UNIT C, WINDSOR, CO 80550-7903
(970) 590-7678
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
1389
CO
Other
Enumeration date
11/22/2009
Last updated
11/22/2009
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