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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
103K00000X
Behavior Analyst
104100000X
Social Worker
225100000X
Physical Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
261Q00000X
Clinic/Center
Primary
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
09/03/2024
Last updated
06/10/2026
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