Provider Demographics
NPI:1700367968
Name:MOVING WITH HEALTH ORIENTED PHYSICAL EDUCATION, INC.
Entity Type:Organization
Organization Name:MOVING WITH HEALTH ORIENTED PHYSICAL EDUCATION, INC.
Other - Org Name:MOVINGWITHHOPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:THATCHER
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNI
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:203-513-8424
Mailing Address - Street 1:30 CONTROLS DR
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-6157
Mailing Address - Country:US
Mailing Address - Phone:203-513-8424
Mailing Address - Fax:203-712-7320
Practice Address - Street 1:30 CONTROLS DR
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-6157
Practice Address - Country:US
Practice Address - Phone:203-513-8424
Practice Address - Fax:203-712-7320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-27
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002364208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty