Organization
THERAPISTS IN MOTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY S JACKSON LOTR (OWNER)
(985) 643-2156
Entity
Organization
Contact information
Practice address
2012 RUBICH LN, SLIDELL, LA 70461-1361
(985) 643-2156
(985) 643-2156
Mailing address
2012 RUBICH LN, SLIDELL, LA 70461-1361
(985) 643-2156
(985) 643-2156
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
12542
LA
Other
Enumeration date
06/22/2008
Last updated
06/22/2008
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