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Organization
ON TRACK PEDIATRIC THERAPY, LLC
Active
Organization
ON TRACK PEDIATRIC THERAPY, LLC
Active
Other names
On Track Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON VALLEY (SYSTEMS DIRECTOR)
(636) 252-4464
Entity
Organization
Contact information
Practice address
54 THE LEGENDS PKWY STE 157, EUREKA, MO 63025-3803
(636) 252-4464
(636) 442-1455
Mailing address
10064 KEUSS FARMS DR, RICHWOODS, MO 63071-2379
(636) 252-4464
(636) 442-1455
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
09/03/2024
Last updated
06/10/2026
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