Provider Demographics
NPI:1902349962
Name:FREEDOM OF MOVEMENT LLC
Entity Type:Organization
Organization Name:FREEDOM OF MOVEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KINDLER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:321-536-3589
Mailing Address - Street 1:2160 SW 16TH AVE
Mailing Address - Street 2:#121
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2848
Mailing Address - Country:US
Mailing Address - Phone:321-536-3589
Mailing Address - Fax:
Practice Address - Street 1:2160 SW 16TH AVE
Practice Address - Street 2:#121
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2848
Practice Address - Country:US
Practice Address - Phone:321-536-3589
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-23
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 5708225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty