| Organization Name: | PEDIATRICS IN MOTION |
| NPI Number: | 1003094996 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMANDA J BRADEN (OCCUPATIONAL THERAPIST) |
| Mailing Address: | 36550 N Hunt Club Rd Suite Pfp Gurnee |
| State: | IL US |
| Postal Code: | 600311633 |
| Phone Number: | 2622061567 |
| Fax Number: | 2622489479 |
| NPI Enumeration Date: | 02/04/2008 |
| NPI Last Update Date: | 02/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |