Organization
ODYSSEY PEDIATRIC THERAPY, LLC
Active
Parent organization
ODYSSEY PEDIATRIC THERAPY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ODYSSEY PEDIATRIC THERAPY, LLC
Authorized official
ANTHONY ANDRIANO (PRESIDENT)
(719) 467-7018
Entity
Organization
Contact information
Practice address
2989 BROADMOOR VALLEY RD, SUITE D, COLORADO SPRINGS, CO 80906-4403
(719) 283-1406
(719) 249-5834
Mailing address
13931 SIERRA STAR CT, COLORADO SPRINGS, CO 80921-2976
(719) 283-1406
(719) 249-5834
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/26/2022
Last updated
01/29/2024
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