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
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
09/03/2024
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