NPI 1003094996
Pediatrics in Motion
Practice location
- Address
- 36550 N Hunt Club Rd Suite Pfp, Gurnee, IL 60031-1633
- Phone
- (262) 206-1567
- Fax
- (262) 248-9479
- Mailing address
- PO Box 306, Wadsworth, IL 60083-0306
Authorised official
- Name
- Amanda J Braden
- Title
- Occupational Therapist
- Phone
- (262) 206-1567
Registered specialties (3)
Pediatric Occupational Therapist
Primary
Pediatric Physical Therapist
Pediatric Physical Therapist
Registry record
- NPI
- 1003094996
- Entity type
- Organization
- NPI issued
- 4 Feb 2008
- Record last updated
- 4 Feb 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.