Organization
KIDS IN MOTION PEDIATRIC THERAPY SERVICES LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY THERESE HYDORN PT (PRESIDENT)
(248) 684-9610
Entity
Organization
Contact information
Practice address
2636 S MILFORD RD, HIGHLAND, MI 48357-4938
(248) 684-9610
(248) 684-9611
Mailing address
2636 S MILFORD RD, HIGHLAND, MI 48357-4938
(248) 684-9610
(248) 684-9611
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40-4682811
—
MI
Enumeration date
09/20/2006
Last updated
08/24/2012
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