# BACK ON COURSE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245338946
- **Authorized official:** MS. MAUREEN MELLEKY RPT (OWNER PT)
- **Authorized official phone:** (203) 949-1890

## Contact information

- **Practice address:** 29 N PLAINS HWY, WALLINGFORD, CT 06492
- **Practice address phone:** (203) 949-1890
- **Practice address fax:** (203) 949-1891
- **Mailing address:** POB 4131, YALESVILLE, CT 06492
- **Mailing address phone:** (203) 284-1340
- **Mailing address fax:** (203) 265-4557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 09/11/2025