Basic Information
Provider Information
NPI: 1932432879
EntityType: 2
ReplacementNPI:  
OrganizationName: MOTION, LLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: THE BOSTON ABILITY CENTER
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 49 WALNUT ST
Address2: BUILDING 3
City: WELLESLEY
State: MA
PostalCode: 024812117
CountryCode: US
TelephoneNumber: 7812390100
FaxNumber: 7812390102
Practice Location
Address1: 49 WALNUT ST
Address2: BUILDING 3
City: WELLESLEY
State: MA
PostalCode: 024812117
CountryCode: US
TelephoneNumber: 7812390100
FaxNumber: 7812390102
Other Information
ProviderEnumerationDate: 09/10/2009
LastUpdateDate: 11/11/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: WADE
AuthorizedOfficialFirstName: JANET
AuthorizedOfficialMiddleName: C
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 7812390100
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2251P0200X  Y193200000X MULTI-SPECIALTY GROUPRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics

No ID Information.


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